JANUARY 26 2016 BUILDING APPSrsJN NEW HAI'IOVER COUNTY BUILDTNG PERNTT
^pplICAYIO ryprr CCX{fiERCIAL
piatst $t5trr ,rLL QUt!IIOt'
^pFLt(iBLt to !(xrn FioJLCt
"p.oject Respo.lslblllty-
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APPLICATIOIi
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#
AP'LICA}fiJ
S A,lE;
^oEVELOPER: ...i .
: oAY
t
pHo t f:PRoJECT ADOR€SS: ,
r;CITY:
,;.:-
OCCUPAXT/8USIN€Ss t.iATE: :.
ZIP::;t'..
PROPERTY
O$I€N'5
OT ER'S ADONESS:
!,IAq€:-..I 1!-PIONE
d:
%crTY
CO'ITRACTOR:J. p. ,{r'h:arer LICE SE t:
AOORTSS:€lfY; i.rqraaoe ST:J;_ ZIp: ;1859:
e,tltl ADoRISS
I ".tl
PFOIECI CO IACT pERSOrr i L)
PHONI
I:
PtOt{E
t: i ;..
€XIST CONSTRUCTION
: [-'l {rearrron l--'] rrI{OVAT ION
tr
fln o
GEN€RAL
ntrlrns I RELoCATror{
ls BLDG spRrNKLEReo.r
I vrs
ll RCocadm s the,e
s N
.lw!l cr. t ine oo ttle
CweA Seef I Yes
IE& COfiSTnUCTIOit:
n ER€cT NEr.,
sTnucrutr
I rlsr rnrcx
I sx
rlr.
I uerrr
[] loo
ro rxrsr srRL,cruR!ACCESSORY SIRUCIURI:
: :.. -,,!:, ,
:
I{ UPFII The
shell Pefli
rt l:
-
rs Elect
rt rus A
ol rG€
or occurucv usrr
flr Occupanay
Iypcl )ii that
Por.cr on
thls Buildlng E yes I to
vrs fitro .....
it th. [6. Oc.up&(y Iypc, Ni
ptl:9i9.56:-6lil r,tc
Rtc ,r
It Yer, ralrt xar th. p.!vlg(l
Arcx msl6.{ PioFES5IO.SL :
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0ESCnIPTIO Of tr)RX:
,
ll{ RrG r
b lood or banrrgs
rr.rd a
rltd h
di. -u.trtf fl vcs glruo b nr progiry
Ot8ctlffEn r
F€6ry
celt h.r
.[ rr..B.u&
ffiffi#iilt#I#ffi,'i{ffiffi Locst.d ln
Ihr Ftooddeh?
[ vos I
OWNEFYCONTRACTOR:I SIGNATURE:
tld. O.nrdor ..a{.So.!. I at!..|o. ,6o..t pimiq,pt rlo
E
rr !o
b.
r.&hllsco.rih
A.a-o. r..r yot/ ..i,aqdr- L.rr ,i.x.rGat €m't to.l 3rMd..d!
6.H.raraos. l/r Po0drarr {Nt8"rlp)d.rnoroo. o, r., taBty o.
!(,ildr!g
5- A.!3to.
['
troly e nJ4{r!t
r.. roui6 r.)L$r 10 dayr
!.n, b tll.
TOTAL PROJECT COST:
i: ..
TOTA AREA SO FTrOrt SO rr UHOen
noor,
ACRES OISTURSED:
NEW IMPERVIOUS AREA
EUILDING HETGHT: -...- I Ofi UNTTS
SO FT PER FLR, OF STORIES:
,,
oF FLOOfIS:
EXSr |ANO DtSTURerrc eenurT?
f] vEs
E NOSOFT EXISTING IMPERVIOUS AR€A:
Dnesreunnr.rr [uenurnr-e f] eouc
!,lrr flcoNoo OTHER
, OF STRUCTUNES
COIIMUNTTY S\r,STEM
fl WaL EIZoI{|NG USE
cr.AsStFtCATtoNcENTRAL
sEprc
! nEvere
seenc n-corr;uNn"/ 6-ys;; ' '*
PAYMErT METHOD
flcesn fiorecK (eAvABLE
ro NHc] f]nuenrcex exrness
f] uorrsr
I orscovrn
zoNE:-oFFrc€R, __- (Ft"fi[ffH:_LH:_Rrr._B:
Approvat:_ ciry, ----6ETE*- rr_ooo,
__]_- _ BFE+zrr=
PERMIT FEE: $
Comrnent
AEVEED DAIE !I '1I
ST:
_ ZIpr_
APPLICAI{T'S NA}IE:
DEVELOPER:
PRO]ECT ADDRESS:
SUBDIVISIO:
PROPERW OItr'I€R,s I'Ut E:
-lo.+l./ C*ttr *
z+
tb-tt
Dt6-q
APPLICATION
Number
(offlce use)
zjt
iJG,..o,>,
X No {LA,rrs*
NEW HANOVER COUNTY
BUILDING PERMIT
APPLIaTIdt TYPE: RESIDENTIAL
PLEAS€ ANSWER
ALL QUESTIONS APPLICABLE TO YOUR PRO]ECT
"Project Responslbilitf,
n
o CITY:t-ll
DATE:
Ptl('T,IE
#:'7 BlWf,Tz a
/
ZIP I
BLOCI #: rnr r.
|,e
a
OH{ER,S ADDRESS:
4to1 4r,CITY:cr.. t ^1
PHONE
#
Sri
A- ZlPi
_
sr{9 ue ,
_Wv3
PIIONE
*t 9,/ (\ ..
4)t -z
fozD
CO TRACTOR:
A.DDRESS:
6- L{ *n se".*Co^< f+t+'(.N5EI?.V 'f) o,a
LICE
CITY:
(b
/b?
CH <E
RAGE SHED
4C,
pHo E
#: .f ,o -r.st -Zzj
f] nrlocarroru
AT\
EMIL ADORESS:
a
PRO]ECT CONTACT PERSoI{:
GENERAT REPAIRS
NEI,I CONSTRUCTIOI:
! CNCCT iIEI{ RESIDENCE O"
! IOOTTTOru
TO EXISTING RESIDENCE
*IPLEASE CHECX ANo Al{StlER BELO.I
ALL T}IAT APPLY TO YOIrR PROIECT:
I nrr cnnaoe
_ sF
! suunoom
-
sF
f] cnerurouse
-
sF
I oer canaee
f] nool
-
sF
! oecr SF
SF
flnon
! sro
OTHER:
TOTAL HEATED SQ FT:
_ TOTAL SQ FT UilDER ROOF:
_ToTAL AREA SQ FT: _
ToTAL PRoJECT CoST rr-ess r-o0 : 5 lzt OO , " o f OF sToRf Es:
Is Any ELECTRICAL, PLUl,lBIt{G
or iIECHAIICAL Work Being Done
to the Acc€ssory Structune?
If the project
is a Relocation,
is there a Natural 6as Line on
the Current S
Is there Electnical Power
on
this Building? ffv"t fiNo
pRoPERw usE
/ occuPAficY ,
{rr"oE rnr.lrr-v
I ounr-rx
! rot.,NHousE
ffv"' ffno
ite?
[ ves ffHo
DESCRIPTIO.T OF
UJ
contacbr inbrnalion.
"llOTE:
OdNER/COIITRACTOR
:r + + * + + + * i(
*,r :*
* + * * * * * * * * * * * *
*(l'*'Il Jil"J * * * * * *
rs rHE pRopERTy LocArED rN a rtooolurrl I
EXISTING IIIPERWoUS AREA:
_ sQ FT
NEW II4PERVIOUS AREA:
-
5Q FT
ZoNE:
_ 0F FICE R:
H./,
FrIVtq.T( hJ
Zb
Any Work Perforhed w/O he Appropriab Permils willbe in Violation olthe NC StaE Bldg
Bc.)SIGI{ATURE:
Y,I
Subjec s Up To $500.00"'
DISCLAIMERj lhereby certit t)at all infomalion in
his applicalion is conecl and all work witt
and ordinsnces snd regulatjons. The NHC De\cloplnenl S€rvic€s CenEr wilibe noiried olan
complywih he Slate Euilding Code 6nd atloh6r appticabte Sraie end toca aws
ychsnges in
he approved phns ange in
conFaclcror
* :|
* :*,t * * + :+ :r +'* :t + + + :i + + r + *,1,1 ** +,1 )r
* + * * x * :r,i * + + +,t,* :*
* :* :l
YEs
dw
TOTAL ACRES DISTUREED:
EXIST LAND DISTURBING
PERIIIIT: ]-.1 VrS [ ruO
FP
ER
R
WAT
ElllEs
ffc
ffc
rcua
f] coMrluNrry
svsrem
I pRrvArE wELL
! cerurml
wrri
ua
I cerurRau srerrc
I pRrvATE sEprrc
! col,rr,lurutrv svsren
*** SEPARATE PERINITS REQUIRED FOR
ELECT, MECH,
Pt8G, 6A5 EOJIP, PREFABS
& INSERTS ***
payr,rEr{T
rilErHoD:
! crsx
I or:cr (pAvABLE
ro mc1 l-'l mrucAN ExpREss
E rclvrsl I orscovrn
)*
*,r ** * + ,lr
*:* ,* ,*
* *+ + + *,t rt +,1 't ,t ,i,*
*,1*,i )t,l * *,t *,*
+** + **,1,1**,t:t*:*:*,t,t*,1:l *:r ,l ,t
* * *,* **,t *,r + *,**,*,t* *
** + * **,r )r
t,*
(FOR OFFICE USE oatLY) REVISED DA.[E
O4l11l12
SETBACKS: F:_ LH:_ RH:_ B:_
t{
Approval:_ City:_ DATE:_. FLoOD: _BFE+2-$35
V
i
?,i-l+*r <-.-r. r'
EXISTIT{G COi|STRUCTTOI{:
! nrrrnarrOru ffiruovatroN
uonl
i3iJ r
tk:L7
i{umber
(oi.f-iqe UFc)
i
/\PPlifAitl?r S iteiiB :
PPOJEsT ADBB=S5:
5UgE3Vi530 ;
PR9?EP'i', Q'.]NER'S iU'1li'iE
;
OUilIERJS jiDDi'.ESg:
lla/t E\.".r,- \d,.< .-CIT'I:
[\-lc:
l-
pilollE a::
z:Pra&9C5
ir!iici T.
... ,. .-...., ..._. ..tii.r!:ii!1:i,=_
iS il.lE ?li0pnRlr.' LOIITID
:i! a ilcCDplxi;..t?
G:i:siltLG :HP;iiv:CUS,l,EIr:. :
l.,iEtion oiue Ilc sl3e;inc. u, io S500.0c:"
,::ir,.,Tr tL- _l
_l l,:s iY!-r,:o
r,V 2!?:28!lL(
q t.5q*
TaT:ri-
.iai.ls DISTURnED:
Exssr LAND DrsrUeAIt.lG pERi.iir: -l ..frs Tl i,rc
/.\,1 w,..
eotrRri.c?,0R:.::..CqCUi'll ili
i
riDDP,!SS:
EI.LA3L
'.\ODRSS9:
ta.
PFoSECT aCi$lCI iERSCi'Ji PHtrilE t::: glD rI R-9.72p
ixlsiiNe c0NSTRUCT!3i'1:
i] *lilarrrolt
]i eEiror.rnr:eiu
f, s6:rn,il REp/irRs
tl
NEIJ Ccl{STRL,GiIsi.::
E :RtcT i,,lEr-'l Rr:iD;iie = -1r [ 'o.l]g,r1;ra, r o =)irtTIi:G F.SS.rD]:i'lGE
qcPLEASE CtlECl{ Ai\lD AJ'!Si{ER EiLoll nLL llAT ilrlLY T0 L,out PRoJEctr
tr
ATi GAP*GE
:-_ sF f! Orr cuaa.cr 5F
Ij poRGl -=:.'.:*sF
suNRooii --sr l) coaL -La-.r) - s; il] sroRror sr:ED
.*- si
1-l errerunousi
-
s: i-l orc . -
-*_
s:OTH: A:
5i
TSTAL i':a4,TE;r SQ Fl:
-
!aTA:- 3c- ir u;']rE= ?coF:
-
?.f,-'
-..:- -:..1:i sa :r:
T0TAL .DSSIECT :O5i (r.ess
r-ou ; i' -J? r, oo
. ii iF 5Tt?.:S5:
is Any EI.ECTR:CAL, PLUI,IDIi'JG
on l,iEcil^tr1lcir.L ,L,otl. grina Don: lo .ihe ,icce6sony !.truq.lsre ?
lj;<"" [, i*o
If the project
is 3 Rsiocetion,
is there r i,ta'ilrel Gas L:le on
the cu.ieni
,iii: $,., E ilo
!s thepe ELect.ic3:- Por,re. on ihas tsuijdin5: ?',,== E i:,
PltoPiR.i-: USE .i iECUP;1rl{a'.':
:i,l6Li il\i,l1L'l
fl ourr-sirToui{}.t0usi
DESCR!-21=Oi'i oF l'loRl(:
OISCL.\lilERi lhereby ce ry'jraizll iniEration in'.ri5 arrti:a:3n i..orccianC rr :.€ri: rrin
.06rl:/ qiljr arc srnre a{irdiag c6de:nc
a ornerappli;abl. sBe eld ioc:i Jitvs:ndodiiancEs and leouleli0ns.'Ihe Ni,,iC Dgv:lornEnl Sf.,iaas CenEr r.r; he nc[i]ld o{
rnv chanQes i. Lie;ppfo?:d otans:ndsr:ciil.aliois or change in cDnl]?cbforconuacbr iatrffiaton, '_i,lOiE: Any
T
hiELU I
1-0il
!..,o^Pe r[o{r,r
irh*\=d
r,\.rip Lie ADiropiaE 9:--nirs\rit!be il)
\t\orr. I
['!ITEP I irui,CFPUI.r L I a0iir':iui'!il.' sysT:-i.i irj nRir,r;r: uar-i l] (EirrRAL LIELL
l=- //
SgilEF ; 'L:!-cF PUrr
I I
:i:::3EpJip.F!Ei.i!!s i,Ec-u:i]
CII\:TRTL
SiPTII.
'l s*rvni: sEpric
E co;.tiiui,!!T.,/ sysTEi,l
:D ;-CR :LrlTj iis*;: ?t.Dg: 6AJ EqUipJ piiEiiliBs &
(fn'.'r.Sl: iO
;tl:r1 -j ii,-r occ.ui:, 1,,6,,'-,.=.
iilt;nii
9.f.',,r,1it5 i,iEiit0D :
:r::+=:Isri!*,:!,!
(KwZ
_,$szoilE:ZOorrzctt..
Appr"ovsl":- Ci'iy ::oA"= :_[:i:L-l-P F r,ooD r
.FOn Oa;!c: us: c::1.,)ii!.!540 onE
0!/il,,1f
LH:
JO:RH:l()
__;: BFE.rzft=
il
q.jr
1&n^aueu/ Qeol rl'rrrcfu'<-
'Slo-i:ii :ee,
?or>\ +
Cqmruent:
1t
)o16-A6A
i'jEuj HA:iieiiEF-, ei!-j!,i?Y BU:LDillG ?ER!,riT
i.P ? !-!CtTzai'! r,?= : iiSi:,-iliT]S:'-
PL-.ASi AllSl{ER aLL CiJiST:OilS APPL:CABLS io YoUR FRoIECT
a:.6anc.:hi i +ii'
xb\b " 45'?
r5-"S20.zg\t\\\':;.t,/-t . ,. ': .,a',",-,.i ':
...., |.t,.,,.
NEW HANOVER COUNW EUTLDING
PrNNrr
a p, L tCAt trort ry"€, Coi|IEFCIAL
claasE afstt I rL[ qJas.rtoNs aprLl(ao{E
]o vow ,lolt(r
"p.oject t.5!..ribility,,
ltl'r
r C-h,1 ;',;:.7 l*) r."J 5r,..;
APpLtclI'cx
,aurnbr.
rzJ, t 1.u.,l)gVELO?ER:
PnolECt AoOBtls I
;1;X
OAT!
.NLv-PFOTC
':CIIY:
r, .
!
occupArT/BusrriEss l'r{qEl
PRoPtiw otj'l€R's ltAr{E I
(, /tP,S ADOfl€Ss: al() . . '
COIITRACTOR:t) t.
zIP:zt .
\f}
PlO
r t: c\ rL-
q.
CITY:
t ICttrSt
l: .") rl
?ti: r e-t S r; '..tL
ST r
L:.2:p: r..-; 7
arof,tSti ,1,l11 CtrWi
;.
€lUI L rrDRESS i sr.* zrPl ? r- .-{,3
-: fSEo
or:t q ta:
PRO)ECT CO{TA(T PIRSG:!.! I
PH(}tt
t:
PIOltI
ff \ . ZL.tl,
exrSl cotlsriuc;Ioti:ALTE'AT:OIi
tc.r(.
^t: rhrr
^rrrr )
L! R€svrrron I-. crnrnlt.
;r',(rrsae? Eri-Elrr"
f;Epa:is
f nrlocrr:oi
Lrne oa lhefi ecbc€tao, € tharer l&lrrrl Gls
rtx cor6tRucrr$r
n €RgcT
accassoiY 5Txuc.Il,iE I
IS 8L
'E
s;iiir{I.ERi"D? f] y!5 B o
rEl,, srRucrlre
f rasr rucx
f sxtr.r,
f t PFr:
f ADD
T0 D(tsr srqurrrR!
I{ UprIT
- Th€ gi€ll pe.&tt {: _ ts
ltert pone,. on
thj.! Suilding..,,. JS rr{rs
I ou,;sE OF
o{curory usP
fi yEs
r!]ltr._..tt Ycrr Lir.t !"5 thr p.avloor Olaupin(, T!?r) *.,i r, ."?-i.t, g..rprnry Typ.l
flves fuo
AROI DaSI6l/ PRoFESSIOiILT
€Hnt 0!SX6)i PietEJiloarAlr|l( ':- *:
ut lt6
r: -----'
Drs(RrPrIcx or 10R(: ; ?A.-l
Ffl:
\t-'. i\' .; :-*,.',>.-.'..
orsct ruER rrarto,celttlla,rk Orrr.!:- -
rn0 bttJ 3^r rft, o.df,.Es!.16 ra.ulrl,rs - +
o, clrarEr i aonr*lor or (lr:f8t!r ilrL.nal.-.
"'
Sullocl-lu F i.. Up ro It'10 ff"
!nb^Err"c.{h B
.dra1!,n .El tst( rrJ.cril,.. Hth rrr
::e-i;{ffi +#ffiffi#"?if;
#f ffi
ffi H
L tood or kverster fep€r.d.r 6ert{d h t rb truatlrg?
fivo.frto
IOTAL PROJE'; CCS-
k r}!? Piopsa] Locq?C
i. ilrs glodpbhl{:res S:to
ail cin€,
&t ::. € S_2l,
ffi,af#'.;flh
' OF
UNITS
f 0l S, CRIES:
, OF Fi OORS
owNERicoNTRACTOR:2trr +,
i'.tr t-l.u ,.J,
o- stcNATURE ... . : .
tora4
-
.bris.l :'-.-\^ _ -\ - /l'L '' \
rJdr.o.tu'r.{...i.:1.rir! I..0.6r r!.m D.f,{ .rr,s,i,\.t r0
E,u!.\!& trlra,Jr lrl ton
bm lC.oqh
^.rrrrs
o, n
,, you.n,.cGro ro.rr o. rrJo.{.r ry,{l sr.n ..E h. ri:!,na6 ". ,",,.* ^,.. Hri:*r.uxr Lr.
'":.\ or r*,,fi r!: .s,( ro(Felo., tsr r..fu c tvralc
s- 16r.t!4.r ve.. str . -:r*..*r.. ".,"*r.**i;;_:'-
" _ , - ",. . '$e.!' r a.d 0..F Fd r.
rr
TOTAL Af,EA SO TI:
EUILDING HlICI.fi:
SG IT PEE FLR:
ACRESDTSTURSED; a'] EXST r.lNo DrsluRsrNG pasiunr
la'cr r-r.,^
NEW IMPEnVIOUS Af,EA:
tr SO
f.i EX,Sitic tMpEqUOUS
Aiir,: t-- . ' r f-, v
pnopEnr.rusr.
[orce lnesreuFAr.r nuricAlr{.r IEDuc
C,w
leon[1.]---_ " -
yll:l $r_:ulEcou*uNrrysysTEu fl!^€LL trzoN,Ncus;;;;sElvER [3cFpuA
f] CENTrIAT
sEpTlc C i-nverrsrpre
pail'riii iw swr
.TCIA]"
SO TT UNDER ROOF:
' OF STqUCTURES:
-'sE?;A.{= PEfirrrrs nao| ir-: :-r 1---!r:-. ta!a.GAsEalilt,FFn :a5 e :n5.f ._
PAYuEhT ii{ETHOD
[ClSx p&ro<(pAyABG
ro NHc) EAMER,CAN o(PRESs E ucMsA D oscovra
.r^'fi''.ir'nEo,.'!
{FOR oFr1ax us€ o}&Y)
ZO|{E "t : OTF]CER, . L :,,-i.. SEIBACKS:
F:i:J_
LH:-- RH:_ a:ApF!wl:_ Citla- OATE:*i:i-!L
+OOO: .- -:el SI?G
Comrnent:EIMIT FE€ $
,ffi)NEW
HAN,'ER couNTy BUTLDTNG pERMrr Q olto-too a
Wz \b'L
Sc"rr
BPr.oject ResponstbiliEp
l-l ooKsrc
?ot PHottE
#:
CICIW: l,Jr(r.^ ,
NlcN zrp:
A(903
BLOCK
#: LOT *:
eR.DEc,.- r.:P5 PHo E
*: 1tO- 79j -Obl1
3'? Dr ASrlt,E
APPLICATI1N TyPE: RESIDENTIAL
PLEASE ANS ER ALL QUESTIONS A'PLICAALE TO YOUR PRO]ECT
APPLICArION
Nmber
(office Use)
APPLICAIJT'
S I{iAT4E:
DEVELOPER:
PROJECT ADDRESS:
SUSDIVISION :
DATE: }.i
lb
PROPERW Ot^lNER,
S NAfiE:
OHNER'S ADDRE5S:
V C-r(
CON'MACTOR:
ADDRESS:
EMAIL ADDRESS:
PROPERTY USE
/ OCCUPANCY
DESCRTPTION OF NORK:
r-\o(-F<
fn O()D
CTTY:
bJiL(.,Na;fi)sT: ,.].( zrp: J 8Yo3
LrcEt6 E *:tr ACCOUtff
*:
CITY: !.i iLh^ r N)|J ST: N, (, ZIP:
J(.lo 3
PHoNE
#: qlo 9l t - -l + q ,\
PRoJECT CONIACT pERsoN: <CsIr{orerc PHOitE
*; lro 431 -'l 9q0
uIsENG
a.*rror*or, ffi ALTERATToN
I aruovarroru
[ eerrrenar_
aeearns
fl RELocATToN
NEN COI'ISTRUCTIOI,I:
I ENICr NEN RESIDENCE
O"
ff O*''* TO
flISTII,IG RESIDENCE
++LEASE CHEC( A}O AI,ISI{ER BELOI{
ALL TIIAT APPLY TO YOI'R PROJECT:
I-l nr eamep qF
! orr
ernase sr
f| mncn
_sF
,^m suNRoo"l
3oo SF
I eool_ sr
I oecr
_ sr
I sronaee siHED
_ sFI oReturo.rss
TOTAL HEATED
SQ
FT: 186 TOTAL
Sq FT UNDER ROOF:
+8O IOTAL AREA 'q ", $f O
TOTAL PROIECT C05T Gess r-o0 : g Q.7 r tsOU # OF
STORIES: I
rs Any ELEcrRrcAL, pLUr'lBrNG or nEcHr{'rtcAl lnlonk B€ing Done
to th€ Accessory
st.u.ture?
[ v"r [ ruoIf the project
is a Relocation,
is there a Natural 6as Li.ne on
the cunrent s:.te?
flves [ruoIs thene
Electrical powen on this Building? ffiV", f] no
5F OTHER:
8Ar,{
lg6 5F
x I ouer-ex
! rour'uouseSIIIGLE FAIIILY
ALN|NK A
SATH ANO$ i,,tr.l
O\r:;.r
rlt5
D{Sq-qHER: I
h€rEby
conjt hai alt hbnnatjon in tli6 applcadon b cofi€ct and aI vprk *lI
and odinanc€s and
Bgulaions.Ihe NHC Devetopmen!S€Nic€s Conror,,$ltbe notfied of an
oon!_6Dr in
6rm6ton. .-NoTEr Any
work p€rflIm€d wr'o
te App.DpriaE perniiEw b€ in
complywitr tlg Sble BuiHhg Cbd6 and alt
oho. appflcabta SAE and lo.at taw6
y chBngs6
h h6€pplDv6d ctlangs in
conEacbr or
Lh To
$500,00."
OHNER/CONTRACTOR:
Scofr
llmrEr STGMTURE !
,r+** ++++* r +***+******
******(IF{iJil1****+**+****++*+**+********++***********:t+*+*********
rs rHE pRopERry LoCATED
rN
a rlooonuul EL vrs f] uo
EXISTING I',IPERWOUS AREA:
-SQ
FT TOTAL ACRES DISTURBED:
zor,re:
O\6orprcen:
Approval:_ City:
(FoR
OfircE usE oIL\,r *
ntr
:KJ
REVIsED DATE
O4l11l12
SETBACKS: F:
nn:
lO' e,JS'
FLOOD:r:7 B F
Et2ft=Dnre
: I 't{ .l U
3?N
Q-a--l
Coflnent:
N s0{u V,\,j.tae ".og,1t^f<d.
PERfiTT FEE:
BGST LA'{) DISIURBII{G yrs f^':l rc
Vg
,lqq_
il NEW HANOVER COUNTY BUILDING
O'U"'J O1b dE
APP
LI$TIUI TyPE: R ESIDENTIAL
PLEASE ANSUER ALT QUESTIONS APPLICIBLE TO YOUR PRO]ECT
.prloiect Res pons
tbilitld
,{6t Le-[e-r
Y1
PHot{E
f: 94f -
3lt r
crw:ZIPI
zt4,j
BLOCK #
PFOiTE
*: "11 3 -
l
7){
CTTY
sr:bLzw,t z<LlOf
t,
APPLICAIION
tlmber
(oFfice Use)
oarc, l'6- lL
6
&.
APPLICAI.JT'5 MII1E:
,1;
DEVELOPER:
CONTRACTORs
ADDRESS:
'T"A L.- L
h
PRO]ECT ADDRESS:
SUBDNISION:
PROPERTY g$,IER'5 MIiIE:
oi^iNER'
5 ADDRESS:
L
: _ LOT *:
7LIcEI'lsE
*: rl (r3 ACCOUNT
#:
EI',IAIL ADDRESS:
PRO]ECT CONTACT PERSON:,1,Le
Ctw: Atil *t ST: DC-
ZIP:7
{qO1
PHoNE
*: 9Ll
3 -
<'t) Y
PHor,rE
*: q43-37/t"
ocsrn'rc coNsrRucrroN:
I alrrnarroru
f] Raovarrolr
fl oerueur_ REPATRS
E RELOCATTON
NEhI COI'ISTR|JCTTOU,
( enrcr EH RESTDEIICE
or
I aoorrroll
ro Ex]srrr,tc RE5TDENCE
*+PLEASE (HE€( AIO AIISTER BELOI{
[err ennace 216 sr
I-l suuaooa <F
fl onemuo.rsr
-- sr
ALL THAT APPLY TO YOI,JR PROJECT:
f| orr
eanaee sF
fl poRcH
3Z srI eool_ sr
I sronaee siHED
_ sFtr DECK IZ0
SF OTHER:SF
TOTAL HEATED SQrrr ll76 rorAL sQ
Fr UNDER
aoor
ltlZtl rorAL AREA
sq
rrz i4L4
TOTAL PROIECT C0ST6assrog
: $ X0# OF
STORTES3 ,_-/Being Done to the Accessory
strl,crure? L_l yes Z No
Natural 6as Line on the Curnent
Site?
flves I Ho
?
l-lves flruo
Is Any ELECTRICAL, PLUHBING
or IiiECliAfltCAL ,Jonk
If the pnoject is a ReLocation,
is there a
Is thepe
Electrical powen on this Building
PR.PER* usE
/ occupAi*y,
ffi*,, ,o*,,I ounr-ex
I rouuouse
DESCRIPTION OF
WORK: Parl ra l-la
DISCIAIUER I ho€by cenjt l.lar 3[ h brhi.6on tn hie app[caCon b corocr shd a]l v.rk eiloonply
wih hs SbE Bulldhg Codo and s[ ohor applcabJ€ SED arld tocat lar^,Eand odhalc€s and l€gutadons' Th€ NHC Oo!€topmenl S6Mc€s cenEr wil b€ notfiod otany chan9e6
h tr6 ap2 o !€d ptan6 a.1d Ep€cificatons or dlange h cont"eor orcont'acbr in&ftnaton\ r-NOTEi Any Wolk perbrmed w/O hs Apprcpriab p€rm iG wilt b€in Vlola6on
oftle NC Stsb Adg r, Fine6 Lh To
9500.0c'.
ONNER/CONTRACTOR:
LuLrr SIGT,IATURE:
*)r*****,r*:i + + * + * + * ** ** * ** ** *(IfIl Jiloi * *
I5 THE PROPERW LOCATED
IN A FLOODPLAINI
EXISTING T|qPERVIOUS AREA:sQ FT ToTAL AcREs DISIURBED:
? I a*
NEtl IfiPER\/Io[Js aREAt LO Ll) se FrB(IST LAiE DIsn RBI|IG
PERfiIT:
n yEs
PUA
I cor+ruurw
sysra4
n pRrvArE wELL
f] ceurner-
weliI.IATER:
SEhIER:CFPUA
D CENTRAL
sEpTrc
I eRrvarr sEpTrc
EI cotruuNrTy sysrEf4
+ira SE',ittlTE PE&IITS REqUI&ED
rOR ELEC?J
|{ECH' pLEG' Grs Equlp, p&E
r6s & It6ERTs i.:r
pAyfiEHT ,.rErHoD:
I cnsr
[ "xr.r (PAYABLE
ro nncl
[rr.i *"-* 'd*f** [ orr.*.*****x:t* *)i.*in******)t*ri**f**:ts+****:i*:tr*rt*{.+****** *:i:i ri:t:i* ***:t *:ti. r**,t **** ***if i.i:t:i* rt
* **
i:i:t ** n
*:i
**+*+****+2++* *****+*+*,r*:i**+ *** **** **+*
***)t+*
YEs
Zw
(roa orFt.E rrsE o
Ly)_ lA ,p, ,*.1nt lvr*| 5 REvrsEo oArE 04111112
sETBAcKs: p: ar. Ltt: lo' RI.t lot B:
)51
\/ BFE+2fr
-*F-
PERI'IIT FEE: $
zoNE: L\o oFFrcER:
Approval:_ City:
Coflnent:
oarr: r
l(lr( rr-ooo:
"rl J
d(
Pe z+ lb-
5s) atto*'G t I
APPLTCATION
ilubep
(oFEce Use)'Pr.oJect Res pons
tbiltq/
.TU(;)'p1,,"r
NEr,'r
HANovE*
.or#flr? ,fi1-0 AIJ-'$
AppLrcATroN rypE; RESXDENTIAL
PLEASE ANSi]ER ALT QUE5TIONS APPLICABLE TO 1OUR PROJECT
APPLICANT'S MI,iE:
DEVELOPER;OATE:
PHO
E #:
PRO]ECT ADDRESS:
SUBDIWSION:
CONTRACTOR:
ADDRESS:
EillAIL ADDRESS:
'a 1ct,: s 1. ,' ;crw:
: LOT *:
PHONE
#:
ST: ZI;OI 2/Ya,'
/ ACCOUI{T
#:
5Ttlv,(ZtPr.4@)
PHoNE #: qta- ctA
lal/
PHONE #:,'ra'- t't 6 (art
ZW:7f./al
5F
SF/qrY
sQ
Frz tg4ll
Elruo
ves
fl rc
PROPERW O,$IER'S MI.IE:
OHNER'S ADDRESSI
- rn,^l
rL^,.CTTY;
ELOCK *
(. tt LTCENSE
*:
CITY: 8t1. v.
5tt
PRO]ECT COI{TACT PERSON:
I-l nrr eanaer sF
lsuunoo'l
_sFI one
rnno.rsr
_ sr
Es,'.2
IDET'ICE
LOCATIONDGSTTITG coNsTRUCrrON:
[I alrenarroN
I neuovarroru
[ eerueerl Reeares
NEt^l COI'|5TRWTIONT
f] rRtcr NEH RESIDENCE
or
[ 65rp1116X
ro HisTrNG REs
**PLEASE CHEC(
A'O AXS}IER BELO}I
ALL TTIAT APPLY TO YOIjR PROJECT!
Don
I eool
I oecr
GARAGE
-
SF
SF
SF
[roacn D9 t,
I sronaee IiHED
_
OTHER:
TOTAL HEATED
SQFT. /{C'd TOTAL
5Q FT UNDER ROOF:
-
TOTAL AREA
ToTAL PRolEcT CoST lressr-os z g 7 t/t
t'it # oF sToR[ES!
,. _
Is Any ELECTRICAL, PU,I,IEING
or fiECHINICT\L
Hork Being Oone to the Accessory
Structure) E yes
If the pnoject
is a Rel.ocation,
is thene a Natural 6as Line on the Curnent Site?
[lIs thepe Electnical powen on thj.s Building? PV"t Ino
PRoPERW
tsE
/ occt PAtlCYr
ffi srruelr rnr,uUV
I OURIU
I ror,iluOUSe y'/o S.y',-.t---.- <. (c-aza,
DESCRIPTfON OF l^lOR(:(A lv,,,b)n//e"/ 1
rh,',,
P.no,.>4.-t- "-. I-E,.n
bl
D|Sq-AUER I holEby csn fy har all
and
odhsnc€s and rsgulatoG. Ths
oont-acl* inbnrcton, '-NOTET Any
OHNER/CONTRACTOR:
fi -ttt.-l*
fw
Adg Cod€ €nd<2L Fin€s rlp To
9500.0e"
b6rmati{rn in biE aPP[€a&n i6 conBctand
dlYDrk\rill comply wilh he SbE
&ildhg Cbd€ and atl ot16r ap{rlxb]€ SEb ahd locd t€l#c
NHC Oe\elopm€nl S€rvic€€ C€nEr \ /ill b6 nodfisd of sny cisnlos ln h€ spp o v6d plaflE and
speciic€tons or ciangs h cont&br or
Wo* Pedonn€d
w/O hB Apploprbb P6'.n1its wiu b€ in Vrotation of he NC
Sab
SIGI'IATURE:
*,r*
**** +*+
***+ ***** ** * ** ** *(iiTlJili]++
**+**+** **+* *** **** +*+****+**i.
*++***+,t********+****
rs rHE pRopERry LocrrED rN A FLooDpLArJ,l?
n yEs EI rc
(
EXTSTING IMPERVIoI
S AREA:
_SQ FT
NEW
IIiIPERVIoU5 AREA:
_SQ FT
TOTAL ACRES DISTURBED I
IIIATER:
SEt,JER:
EE
zoNE: IJMF oFFrcER:
Appnoval:_ City
E(Isr LAlo DrsruRBrr,lc pERnrr: fl ves
f] ro
creua
I com\,ruNrry
sysrEm
n pRrvATE I{ELL
I cerurul urell
CFPUA
E CENTRAL
sEpTrc
I enrvare
senrrc
I co4yuNrw sysTEq
*!. SEIA&ATE
Pa<tTS REqUIRED FOR ELECTT |{ECH, pL8G, GtS Equlp, PREFA6S & IISERTS ..*]
pAynENT r.tETHoD:
fl cesri
I c}recr (PAYABLE
ro nrcy
I erul
rcco.rnr [l r,rcZvrse
I orscoren
+** **** *:i**** i4*:t***********rl !t
+:*:hFt * rt:hi:t )a
* * rt:t*
**** f .ii**** *** t** i. ***:t:t**i! *:i * :i:t* * l.:! i**
** f t**
*5(Foa ofFlaE t sE onLY) i , REVIsEO DATE
O4l11lt2
sErBAcKs: r, * u; * p* * e: k
CoffEnt:
UiLN DqTE: I
FLOOD:
r''.J-j
V BFE+2ft=
J.Jlrrr, $ qTG-
2 olb
JQJ
-6 iy
6\
\5
P
A
D
5
+
+-+.3
PHOI{E
S:
ST:
PERMIT
RO]ECT
NEW HANOVER COUNTY
BUILDING
APPLICATI01I ryPE, COIII{ERCIAL
APPLICATIOI{
Number
(Offlce Use)
AllSl'JER
ALL oUESTIoIJS APPLICASLE TO YOUR p
"Project Responsibility,,
sENS
(Check
Arl lhat Apply)
Et{ovaTIoN
l-l erxeaat nrparns
nt
sitez
[vei[ No ts BLDG S
tEASPL
oDATE:
PHoNE
*: 9/0
srl.Ly-ztPt#761
PHo E *:
4t 4p -at?O
pxonE
s: 317- AZZ9
W CONSTRUCTION:ERECT I{EW STRUCTURE
! rasr rnacx
fl sxer.r-
Surrrr E ADD ro Exrsr srRUcruRE
CESSORY STRUCTURE:
5
4k
EOP
Tc
L
€
CUP
L
E
J
P
EV
PRO
oc/lll
MIiIE
O pnopenrv owrrn's
\ olJ[ER's ADDRESS:
o EXrST COI{STRUCTTON
.I lf Relocation. is there a N
I
ENAI'4
srCANTP
R
ADD
( erarl mDREss:
ZIP.crw
E:
s
ESS
sE
IN
R
8USAI'IT
9to
aSt-G,*
,&zrP:'C?/#l
RETOCATIOI{
xleneor Ives [ruoPRIN
t
w:
ICE
TY:
CI
L
CI
\ co**octoa,( monrss,
t1,A
o
rd.Z71o
ERSON- Onortcr coirrAcr P
(
R
Curreatural
ALTERATION
Gas Line on the
{j'rE
(o'
-5
r- $lncx DEsrG{ PRoFEssrof'tal:
, Er'lcR DEsrG{ PRoFEssroML:
If UPFIT
- The Shell Permit #:
.r..* rs rHJs A cHAIGE oF occupar{cy usE?
E yEs B* '**..IF Yes, uhat was the Previous Occupancy Type?
_ h,hat is the i,lew
Occupancy Type?
Ab6. 17V rs Elect pouer on
ttris eui:.oing fives E Ho
NC REG #:
NC REG
#:
WPH
PH:
(o+)
ls food or bsvsrsges prepared or seryed in this
srnrcuref{ves
I No b The Propeiy Locatod ln Tha Ftoodplain?
[ yes
ESCRIPTION OF WORK:
No
(Ou6lilt 4
Note: Demolilon notiticallons E asbenos removel pernn appli:ations srelo be subinlited usln! th€ eppttetton iorm (DHHS.3768) wh6ther
tle t cliy orhJildhO was t0
cont8in Asbesos or not. You 6re requirod lo
call$e Natoflal EmisslonSl|ndards ld tlsz.r6us Ar Polldrna (NESHAP) a (919)707-5950 el tea$ 10 d8ys prior lo lh€
d€moliiion of any fadlity or bullding- See Abestos web Slt6ililpJ^/vv v.epi.nale.nc.uyegu8sb€novahmD,html
TOTAL PROJECT COST:
?j]},IU:C) BUILDING HEIGHT:35#OF
UNITS: I
TOTAL AREA SQ FT :
SQ FT PER FLR:
\-)
a)a
TOTALSQFTUNDERROO-]""056T#OFSTRUCTURES; I
ACRES DISTURBED:
NEW IMPERVIOUS AREA:
# OF STORIES
# OF FLOORS:
l€\\. .r
rr 'r? ? ?
Exsr LAND DtsruRBtNG nERMI? EyES ElNo
SQ FT EXISTING IMPERVIOUS AREA:SO FT
pRopERryUSE: EoFFrcE [nesraunaNr [ueRceNrrr-e
f]eouc [mr EcoHoo
WATER: MICFPUA fICOMMUNTTY SYSTEM
fl WELL EZONTNG USE CTASS|F
SEWER: EJICFPUA E CENTRAL SEPTIC L]PRMATE SEPTIC E COMMUNITY SYSTEM
OTHER:
ICATION:
., SEPARATE PERMITS REOUIRED FOR EIECT, MECH, PI3G, GAS EOUIP, PREFABS & INSERTS *'
PAYMENT METHOD:
[CeSx ICXeCX leeVeOtE TO NHC) flarlenrCar EXeRESS EMC /tSA
I OTSCOVen
(FOR OFFICE USE
ONLY) aEysEDDAIE(I1n2
ZONE:_OFFICER:_ SETBACKS: F:-LH:- RH:- B:
Approval:- City:- DATE:- FLOOD:
-- -
BFE+2ft=
AVN
Comme . PERMIT FEE: $j33s.4,
APPLICAflI'5 I{AXE
i
DEVILOPER ;
PROJ€CT ADDRESS:
ocorPAIT/EUSlrrESS MnE :
PiOPERTY OT{I{ER'5 TIAfiE :
o&firR's ADoftEss:
NEW HAIiIOVER COUNTY BUILDING PERI{IT
APPLICATIiI rypEr Co+IERCIAL
PLEASE AIISI{IT
AIL QO€SltOT,ls APPLICASTE TO YOU8 PRO]ICT
-proj.ct ierponslbllity"
2ol(v,-01,
(j)
*/o9
APPT
ICAIIO'I
tturbcr
((Xfic. U.. )
COf,TRACTOR:
ADORESS:
crrY:
CITY;
LICET{SE fr
CITY:
DATE:
Pl()l{[ *:
tio
zt? |
Pio E i:9lO
aq-rr*
srz
r&zvza(?r{4|
srtNLzrP:ru1d1
PRO]ECT COJTACT PERSOiI:
Pr('TiE
*:
PHO{E
f:
.a 3ep -6t?a9't- AZ7fi
If UpFIT
- rhe
shell Pen it *:
AA$. 17?p rs Elcrt pol,er on
thts Buitdin8
Sve' D no
r
f]vrs (ro .....
Iiat ,,s tic taG,
Or(upancy Typel
Exrsr cor{srRucrro :
n ArrEtarro
5 *r#i'r&' '[E'il*L n:rarns
fl RErocArror{
tf Ratoceioi. is there
I Natuatcas Line on rtle
curerr sire? fives flruo ts gLoc spffixt-eReor
I ve" f]No
El{ corrsrRucrr(n,
I rnecr rE], srRrrcruRE
ft msr rucr
f] sxer.r-
surrrr
I lDo
ro Exrsr srnrrcTuiE
ACCESSOnY sTRl,rCn iE:
..... IS THIS A CHA"|6E
tF Yes, dr.t yas th€ Prevlous occuprmy Typ€?
ot occuPAt{cY ust
ARCH OE5Iq{ PIOTESSIq'IAL :
€I{GR D€SI6I{ PROFESSIo'{AL:
PH
PH:t{c
DESCRIPTION OF hIOR(:
allo(ler apdicabte Slate
andsp€ofEatonsgldg Co@ 6nd
Nol.:
o..nolncl l1ot tlcabas I .sb.d6 dnoral parrfil lp9llcdlo.!
rI. to
!. sriin|nad urhe Aa rpClcrb.lbl'tl (DttHS.3ru) *|.OE[ tiat clty or !dkh, wlalo
cod.h A.!.nor o. ?td. You
!.. €$rr.d ro c.n lh. iledofll EmB.hn
s.nhr6 ,ar l't u.dorJ. At Prihra
! (t€sHAP) r (919)7t "t9so I 5an lo day! ttoa to 01.
deooltrion o{.,.", t dny o. njBho. saa A3D6t6 ' tb si.: mp:,I ,rrt..ali.'l$a.!lc.rJs/.curat n6/atrngjltmt
roTAL PROJECT COST: 'I3!)IrCi SUTLDTNG
HEIGHT 1, OF
U',IITS: I
'OTAL
AREA SQ FTSQ FT PER FLR:
REG ':REG f:
ffi
b bod or bcvrteet psparsd q !.rvsd h *ra
*rrtrer(ves I Ho f rrre eroperty Locsbd tn Th. F6g6p5rrr
I vr.
I to
rorAl sQ FT
uNDen noor:$${-TOFSTRUCTURES: I
, OF STORIES
r OF FLOORS:
ACRES OISTURBEDExsr LAND DrsruRarruc ptRunr l-']yes flruoNEwlMPERvloUSAREA:-SQFrEx!sTlNGlMPERVloUSAREA:SQ FT
-. SEPARA]E PERMITS REOLJIREO FOR ETECT, UECH, PLAG, GAS EOL'IP. PREFA&S
'
IXSEFTS
-.
pAyMEin METHOD:
ICISX f]CreCX terveeLE TO r{HC} fiatreercAn exeREss
E MCMSA
I OrSCOven
(FOR OFFTCE US€ ONt Y)
N
NEMSED
DAIT
'/I1N2
ZONE:_OFFICER:SETBACKS: F:-LH:- RH:- B:
Apprcvd:- City:-DATE: FL@D:
-
BFE+m=_
35,00
'ox
a
AV
Comment PERMIT FEE: $
73
€ ATL ADORESS:
pRopERWUSE: EoFFrcE [nesraunenr [uencArintE
[eouc finrr Emrco orHER_
WAIER: ECFPUA D@MMUNITY SYSTEM
fl wEtL EZoNlirG UsE
Ct SS|FICAIoN:
sEwER:
! CFPUA
fl CENTRAI- SEPTE lJ PRIVAIE
SEPTIC ElColtMUNlTY SYSIEM
#
, o
lb-Gt1
Lt' /O1
APPLICATION
ttumber
((rri.. Ui!)
NEW HANOVER COUNTY
BUILOING PERI4IT
A9rLtCArrO rypf
: COITI,iERCIAL
PLEASI Alis,iaE ALt Qut;rj'oris ap?liaaBLE To yol.r .Fctt(.r
"proje(t ie5ponslbtllty.,
5
C TTY:
o*NEn,s aDDRES5T :lf,o Ai zn*4*,,4..r
ilr aol crrv
LICENS E
f:
APPLTCAHI, S NAJ1E
DEVELOPER:
CO!{TRACTOR:
AODRESS:
04il,
f,q lru
Ptw.E
$tygjl:i_lliy'Gc
PRO]ECT ADORE5S
OCA,PANT/BUsINT55 NA,TIE:
9RCPERTY Ot'flIER'S IIAiE :
ZIPr_
CJTY:
(($e., all :..1 rooil)
prr*tt *: ct/C 3j(-6!&
t
i!
PRO]ECT COTIIACT P€RsON
EXIST C@ISTRUCTIOI,I:
lf Relocation is Lhcre a llirl
aLTERATroil
I nercvauou
Gas Line on lhe Curaenr
Ste? E
GEiTERAL iEPArRs
I-- n:r-ocarror
Euo ts
atcc spR;r r lHrD, E Y". E]ruo
NEIJ co srrucrto :
I tarcr new slf,ucruRE
f]rrcr ruCx
ACCESSORY STXUCIURE I
I sxrr-l $'unrrr
f] aDD
ro Fxrsr sTRUcTURE
If upFIT
- The
snell Per it r: ?b6- 177e Is Elcct pore. on
this Buildlng Xyes f ro
!,..r rs rxrs a o{Ar{6E
or o(cupancy usE?
[ ws (lo ...,.
IF Yes, rrhit h"s th€ prevloos O<<upancy Tyrcl _ tfiat i.5 the t.r Occup.n<y Typel
Ptr:W&L&M*c
PH
filliaLS3Lrt l
RE6
I:
8t6
':
ARCH OTSIGN PROFESSIOTIAL:
rNcn Df 5:6il PRoFESSI0ftaL:
DESCT;p'::oti 0F ldcFK ;
WATER:]CFPUA
SEWER
D CFPUA
ts lood or bev€rsges p(epared or scrved h lhis *r,"r,r"?frV* ! lfo b Ths Pmpefty Locstsd ln Th€
Floo@hi.?
E y.s E] No
pRopERry usE: loFFaE flnesreuneur
luencerrte leouc f]nrr lcoxoo orxrn:
f]coMMUNr-Ty SYSTEM
EWELL I]ZONTNG USE CL,ISS|FICAT]ON:
fl CENTRAL SEPIC Ll PRTVATE
SEPnC DCOMMUNTTY S\GrEM
pAyMENr METHOD:
lCrcX f c+recx (PAYAsLE TO NHC) [eUenrCaX eXCneSS
f] UOvrSa
I OiSCOVen
\ (FOR OFFICf USE OttLY)
ZONE: i.{i \ oFFrcER: 'Q* -} - SETBACKS: F: = \ ^LH:
I RH.-[- B:
i
Appmva:- City:-DATE: I' 11'llz FLOOD: I-rE I
-
BFE+zft=
v
-qr-ti rr -i\L.i
r,,{i-, 1r r
Commenl
tl
PERMIT :EE, $t,00
A
rOTAT PROJECT
I0F lrNi]-s
TOTAL AREA SO FT :
-
roraL so .r ur.roee;oor:T-=
SQ il PER FLR:
_ I Ci
, OF STRUCTURFS
ACFES DISTURBE]EXST IAND D|STUREII,:C pe
nntr E yrs f] Ho
-s-
?:tdt-> ub
s.t
-8+
x54
Q olu$tb
E - __:_:
PRO]ECT ADDRESS:
OCCuPA{T/SUSIIICSSNAfiE:
U-f\
NEW HAIPVER COUNTY
BUILDING PERMIT
aPPLlcrrrc rypE; COl,tltE
RCIAL
plrAsE a[5;!. a!L QJt!]tc].-s arrllc,rBlE To yoJr pio:air
"p.oJect Re (pone lbl L i. ty-
APPLICAiJT'C NAI4F:
APPLICATTOfl
lluabe.
(gfflce Use)
oorrr rl,UllC,9o Z5l,-d(rt
PHOIJE
*:
PHONE
f:
.. /. .:7,
CI
.p-{
J,.\?3
!<l
^\
6
c<\
+
-at
2
,
{
-_E\-.)
CITY:
I.ICE
CITY:
PtioiiE
t
PHoNE
*:qro 751-{elGt
sf tLL zrP
I
Aq14/\l
s\:^La*,
^*{l
PRoPERIY !,r* ER'S rUfiE:
O NtR,S ADORESs:
CO TRACTOR I
ADDRESS:
\5E r:
EHAIL ADORISS:
PROJECT COffTACT PERSO{:
iafr.k rrr tn.t {$:_a)
EX!5'r Co'iS IRTIC I
:0r.1:A
It
Rglocrtion, is lhere a \alLr_al G6s L're on lhe Cur
NEI CO*S'RUCTrO|:
I enrcr rrw STRUCTURE
ACCESSORY STRUCTI'iE:
FAsr rRAcK
I sxrlr
flurrrr
f oo ro Exrsr srRUcruRE
If uPFIr
- rh€ shell Perhit t: eDt4 'fM6 15 E
A CH,[}}GT
O; OCCUPAI]CY US
RElor,/artol{
! errrat nrnarns
] RElocarlor{
,enr
sier Elves
EINo s BLDG s"c'li<-r oLL "
E ".. Eruo
IF Ye9, ^firt r.s tha Paevicxrs oc<upancy Type?
fro
lllhat 15 the fier O<(upaicy Tyr,et
PH
.ll
1 !', "'
. !-:.- _
lcct Powe. on this Euilding El'yes
El I lYEs DJto .."'
ARCH DESI6N PNOTISSIOi]AI:
EX6R
OESIGi PROFESSIOri](', :
(
^ttlj N
!c erc
,
E25
0E5Cnr!::)N at haR,.:
b lood or b€vsraoes gtep3red or sarved in lhis sttlxlr.e?
OWNEFYCONTRACTOR
iqn,r.4
ffivur I r'ro b Th€ Propedy Locsled tn llte Ftoodd.in? & yo3 D No
SIGNATURE:
1.a __' . SE:e
_,.:-::.,_,.r.1,x.n.-.,.r: i-. lcrtlc,^-' n
l9t!
) BUILDING HEIGHi
2r:v
---]-
, i,F UN
SETBACKS: F
LH: i,,i- RHI
, - B+
TOTAL SQ 'T UNDEB RCOF; oF :-.: -i :ir..
ACRES DISTUREED:-
NEW IMPERVIOUS AREA:
EXST IAND DISTURBING PE-RM|I?
ff YES DNO
so :T E_!:ls- |lG ,uPi ;\"..:a ,s n.:r..
pRopERTyusE:
forrce flRssraunarr
fuen*urue
f eouc
[ler [coruoo ornra
, OF STORIES:
, O: FLOORSi
wArER: ECFPUA
sEwER IJCFPUA
rlcoMMUNrW SYSTEM
flWELr EZON'NG USE CT SS|FTCAT]ON
LfCEMIRATSTPTlc LI FRIVATE SEPTlc f] COMMUNITY SYSTEM
TOTAL PROJECT C
zoNE: ;$i oFFr
&'provel: __ C FLOOD:
PAYMENT METHOD:
[CrcH f CaeCX (PAYABLE TO
NHC) [aNenrC*l eXrarss fiuc^ase E OtSCOVen
nr-rffiI.rIrrr!.rn
iFoR oEFrcf usE or{LY)
I
BFE.
a, r(,
ii.,,,:-1)ui'r '.:{ vf YCIJ.r'L.
Comment A
N
PERMIT
i,;ztto
ffi
I
(,,
I t)
a,
TOTAI AREA SO FT
/e
.&
COiITRACTOR:
AOO{Ess:
NEW HA]'JOVER COUNTY
BUILDING PERI,IIT
,ppLrCArrO
rypti C0{,IERCIAL
PtEASt AitSrEt aLL QUtslIotS APPLI(A8LE
tO yOUi piOlECT
"ProJect Rcsponslbllity,,
Adb- 6t@,'0-ll I
APPI.ICATIOfl
llunb€l"
(Oftt.. u3.)
*rr, rl,t^lt6:4n aal -Gll,4
APPLICA'{T'5 TIA"IE:
DEVELOPER;
PNOJECT ADOEESS:
occuPAirT/Buslr{Ess Mfi E :
Pf,OPEXIY O${€R'S tIA'iE :
ol,IiIER, S ADORESS:
.<-
c
PHOIIE
$
zrPrA*1Ol
Plo E s: qfu 75t-uha
sf
*Y-ztP,:
^qtt(\l
sr:xl--av:
a*41
PIO E
':P}O{E
':
:\q-7 ^LZtlt4a 5e?,4
A
CITY:
CITY;
E AII ADORESS:
PROJECT C(,ITACT PERSO{:
Exrsr corisrxucrror:
n ALrElarro
3 ,r#ii&' 'EE'ii.^ nreurs
f| iElocArror{
tf
Rddion, is rhere 8 Naru,atcss Lhe on rhe
cunsnt site?
! yes Ir.ro ts eLDc spRtNxleReor
f] ves f]ru0
r{Erd cot{srRucTr(n:
f] rrrcr *EH srRUcruRE
I rAsr rmcx
f] s+rrr.r- p(urrr f] ADD
ro Extsr smucrutE
ACCESSORY STRIrcIURE:
rf uPFIT
- rhe
shell Permit *: 4A16 -1ffi rs Elcct porcr on this Suitding
Xt"' E ro
.r... rs rxrs a ctArrcr
or occupAncy user
flrrs
I.rh.t 15
E6the t{6,occupan(y Typel
REG
f:
IF Yer, r,tat r€s th€ Pre\.lars Ocqup3ncy rype
I
r.t)aRcH orslcr{ PiorEssloat
t:
ETGR I'€SIOI PROfESSIOIAT:
DESCRIPTIOT{ OF IORX:
p+t:
PH:
lc ree
r,
tt6oj-{rE3t4
b bod or brr6ng6 prrpasd
a sarvod h rHs anarre?Sves
[ ruo
tn eropgrty Locacd h rhc
Fboq.irr
I ves ftr,ro
,
lnlormEtion in tNs ication i3 correct and
OWNEFUCONTRACTOR:iIGNATURE: ,
Not.: oarndiioi Ilorilbl(ns
I tslan6 l'r|6/rl pa.mn applbrtErl.
.n to
!a lubnmad ualng t|l. rprlrl(rlbn tonh(oHHS.3ru)rtuttl.r lla hdk/ o. hlldhg wr! ibutd locorfih A$aaba d mt.
dclr!&bo o( any hcflly
TOTAL PROJECT
You a.a r€qurad ro cali tlre
tarlorral En !9at Slodaadt to. Ha:aadblJs
Ar poltu.nr{r€SHAP)r €l9)m7-560 d t
rn 10
o.yt Fir(to !Ld hl6hr. Seo A$anoa Wbd
Sli.r lfipru,ivr.qr.ni...c.urqi/g!.n6,ro n9.riml
BUILDING HEIGHT:S
OF UNITS:
TOTAL AREA SO FTSQ FT PER FLR;
TOTAL SO FT UNDER ROOF:# OF STRUCTURES:
ACRES DISTURBED
NEW IMPERVIOUS AREA;
PROPERTY usE: nOFFCE flnrsreunarr
u
3s
-IOFSTOR|ES:
ts
* OF FLOORS:
-
Exsr LAND DtsruRgrNo penurn nyEs
I Ho
SQ FT EXISTING IMPERVIOUS AREA:
MERCANTILE
nEDUC
I
SQ FT
WATER:COMMUNITY SYSTEM El,YEutrZONING USE CLASSIFEATION:
SEWER:CENIRALSEPnC
n PRMATE
SEPTTC
ff COMMUNTTY
S\61EM
-. S€PARA'IE FERMITS REOUIRED FOR ETECT. UECH, PLAG. GAS EOUIP PREFAES E hISERIS
''
PAYMENT METHOO
flcnsx fJcxecK (pAyABtE To NHc] leuenrcm exeREss EMcMsA I orscoven
ffi.@
(FOR
OmCg USE CB\8.y)
ZONE:_OFFICER:SETBACKS: F:-LH:- RH:- B:
Approval:_ City:_ DATE:- FLOOD:
__ _ BFE+2ft=
#"xaA
AV
Cornment PERMIT FEE: 3
IIEV|SED
0 TEa/tl/r2
ucEi6E r:
fllrr lcoroo oTHER:
?olro'blbt6-il I
NEW HANOVER COUNTY BUILDING PERMIT
APPLICATIO rypE: CoJrllitERCIAL
PLEASE A}IS}/ER
ALL QUESTIONS APPI-ICA8T€ TO YOUR PROJECT
"Project Responslbility,,
b a\e
CI
A
t!'-' "
APPLICATION
ilumber
(offi<e Us!)
oorr,
,l,n,lt6
tc<^ A^t-61(tO
APPLICAT'IT' S f,lAt'1E :
PRO]ECT ADDRESS:
PROPERTY OWNER'S I,IATIE
:
OI{I{ER, S ADDRESS:
CONTRACTOR:
ADORESS:
PRO]ECT CONTACT PERSON:
EXIST CONSTRUCTION:
lf Relocation, is there 8 Natural
NEt,,l co[sTRUCTToN:
n ER
ACCESSORY STRUCIURE:
PHONE
f
PHO{'IE
*: 6(fO
zrpz294Ol
7151'61("0
CITY:
LICE
crw:
sE *:
6
sr:trt: zrP: agrr{11[
sr:LY-ztpt
AflSl
PHONE
*:
P}ONE
f :
sqa, 1L7t)
342, 5e1O
(Ch€.r
al] Ihat Apply)
ALTERArroir
! nercvrrror
! eglenm
nerrrns
fl RErocArroN
Gas Line on rhe Currenr Sire?
llyes flNo tS
BLDG SPRINKLEReOT
I ve"
[ ruo
Ecr r{Er,J srRucrune
I rnsr rmcx
f) sxrr-r-
Xuerrr
! ADD
To Exrsr STRUcTURE
If uPFtT
- The
shell Permit
*: eb16 -
IF Yes, L,hat l{as the Previous Occupancy Type?
IM Is Elect Power on this Building
.*** rs rr{Js a CHA'JGE
oF OCCUpA},lCy UStt [VeS
E6.....
he t{€t{ occupal.,lhat
is t ncy Type ?
C REG
*:
REG f:
DESCRIPIION OF WORK:
ls food or beverages prepared or served in ttris
srruaurefifve"
[ ruo b The Pmpeny Locsted ln Th€ Floooptain?
[ ves
[ ruo
ARCH DEsI6l{ PROFESSIO'IAL:
ENGR DESIGi,' PROFESSIOTIALI
UJ
DISCLAiMER: I hereby cedfy lhat all lnformalion in lhis appllcatjon is
conect and a work wi mmdv with the
and local laws and ordilances and requlalions. Th€ NHC Develoomenl Servic€s Cente, witt b€ norihfo ot anv
or ctlanqe tn contraclor or conlrac'tor informalion, "'NOTE: Any Work Pertormed
WO lhe Appropnate permds
Subjecllo Flnes Up To
$500.00"'
PH
PH
a9 tt6cJ-la*301
state Buitdino Code and
chanaes i
will & in
VDIalDn of Ure
icable Slale
Code
BUILDING
HEIGHT: 35
OWNEF/CONTRACTOR:
(Or.li6.d
TOTAL PROJECT COS
TOTAL AREA SO FT
TOTAL SO FT UNDER ROOF
ACRES DISTURBED:
NEW IMPERVIOUS AREA:
SIGNATURE:
SQ FT PER FLR:#
# OF UNITS:
OF
STORIES: Fz
,
# OF FLOORS:
Exsr LAND DtsruRarNc peRMlrr l-:l yes I Ho
SQ FT EXISTING IMPERVIOUS AREA:SO FT
PROPERTY USE:
flOrnCe lnESraunarur
w AfERt E(9FPUA IICOMMUNTTY SYSTEM
SEWER: ECFPUA - CENTRAL SEPTIC
E
luencarurre
lsouc
flaer flconoo ornen,
E wELr flzoNtNc usE 0LASS|F|CATION:
PRMATE
SEPTTC IICOMMUN|TYSYSTEM
-' SEPARATE PERMITS REOUIRED FOR ELECT, MECH PLBG. GAS EOUIP, PREFABS & INSERTS *'
PAYMENT METHOD
flcasx ficr.rrcK (pAyABtE
ro NHcy ftauenrcaN expRESs
E McMSe
fl oscoven
(FOR OFFICE USE ONLY)REVISED DAIE 4/I 1/I2
ZONE:_OFFICER:SETBACKS: F:-LH:- RH:- B:
Approval: City:- DATE: FLOOD:
---
BFE+2t=
AVN
Comment.PERMIT FEE:1E
.-- -:-..l' ;.'. ;.
DEVE LOPER:
OCCUPAiIT/BU5II{ESS M}tE :
EI!,IAIL ADDRESS:
u{**' Eruo
conLln Albestos o. nd. You 8re rcqulred lo callthe Na{oml €mbsion S'taidsrds tor llszsrdous
Ar Pott{/tarir (NESHAP) d (919)707-5950 st lean 10 dsys g,ior to tB
denrlllion of sny facillty o. bulldlng. S€€ Asbenos trybb Slte: lttpl v**.epi.nde.nc.uJeprasb€no6/ahmp.html
#OFSTRUCTURES: I
NEW HANOVER COUNTY BUILDING PERMIT
APPLIA|ION TYPE: RESIDENTIAL
PLEASE AI.ISI,/ER ALL QUESTIONS APPLICABLE TO YOUR PRO]EIT
"Project Responsibilitf'
VeltrEls 0o""'t L'r-ilu//
t6-62
SoKo'G7
APPLICATION
Numb€ r
(office Ure)
APPLICAI{T'S MI4E :
DEVELOPER:
y'-r-DATE: /
P}IONE
T:
PRO]ECT ADDRESS:
PROPERTY OUT{ER'S NAI'IE :AP
Oi,r{ER'S ADDRESS I
,LC CITY:
.a-
lll /L
4,,u
r TLttcense *zrL,, c
CITY:4A,t{4r€,*O
Le c-*t ott n.a-
----zrp;-ZY-lL7
BLoCX
#: LOT #:
PH)NE
*z AL qJ
sr ..t4- zrp.2x , t-7
srz&up/-{Ltq)
/<.
L O /.,... t'/ t
T{tllL t acL
4
Ca-ct! 11
Avp
CONTRACTOR:
ADDRESS :
ETUIL ADDRESS:
PROPERTY USE
/ OCCUP
DESCRIPTION OF UORK:
la
aPlo E *: a) O VQ?c
EXISTIiIG CONSTRUCTION:
u ALTERATION RENOVATION
I crruenel REpArRs
f] RELocArroN
pnolEcr cor{rAcr pERsor{: = aaala }0-1 -f0N
NEt{ CONSTRUCTIO :
! ERECT NEr{ RESIDEIICE o" ffiOOtttan To ExrsTII{c RESIDENCE
**PLEASE CHECK AND Al,lStlER BELOT{ ALL TI{AT APPLY TO YOl,rR pROJECY:
[arr eanace
-
sF I orr eaRace sr jeo^rr@\27sr
! surunoor.r
_ sF
I on eeruHous e
_ sF
! eool
_ sF
f] sronaee
sreo sF
PHor{E
,: A/a// )q
SFoTHER: <E
rrY
fl DUPLEx TOWNHOUS
,.*J..JJ A b)z-
TOTAL HEATED SQ FT:
-
TOTAL SQ FT UI'IDER
ROoF:
-
ToTAL AREA
sQ FT:
-
TOTAL PR0IECT CoST(r-essroD : $ #\/@\-O//D'* oF sToRIEs:
Is Any ELECTRICAL, PLUMBf
G or IiIECHAIICA| Wonk
Being Done
to the Accessory Structure?
[ V"r ffruoIf the project
is a Relocation,
is there a Natural Gas Line on the Current Site?
[ ves ffioIs there Electrical Power
on this Building?
fi Ves
ffto
ruitcY: Pl-srrue rr ran
J, nonr)
DECK
t9
E
4.h
r-O a-nlu*.
3b Permils
willbe in
Viohtion ofthe NC StaE Bldg
contacbr inbmalion. "1,IOTE:
or{NER/COr{TRACTOR<./
W/O Fe Applopri
U n..--{,
L dt *1
DISCLAIMER: lhereby cerlify fial all intomaton in his application is conecl snd all work will comply wih he Stsl6 Euildtnq Code alapplicabl€ Stab and local laws
and ordinances and regulalions The NHC Developmenl Services CenEr willbe nolifiod ofanychangos in he approved plans
Any Work Perfomsd
8,Jz
To
00'"
,/5 SIGNATURE :
(P.int tlane)
,t
*)t * +*r*,t,i t:| )t
* rt:+ ,|
* t:t +* * +*:i + *+ *,t,i** + +rt*,t * r+ '1,*:** * *:** +*+* *,t *+ **'*,1,*,1,t*:r** **+ * *,t*:i I ,t,*
** +,| *,t* * *,t
IS THE PROPERW LOCATED ItiI A FLOODPIAIN?
EXlSTIilG IITPERVIOUS AREA:
-5Q
FT
NEtl $TPERVIOUS AREA:
_5Q FT
I{ATER:
I CFPUA
E CO I'IUNITY SY5TEI'1
E
sEwER:
! CFPUA
E CENTRAL sEPrIc BPR
ZONE:
-
0F FICER:
Approvat:- CitY
NO
TOTAL ACRES DISTURBED:
EXIST LAND DISTURBING PERMIT:
I ves
flro
! crrurRal welL
f] cour.luurw svsrrm
EEYES
PRIVATE WELL
IVATE SEPTIC
*** SEPAR]ATE PERiiITS REQIJIRED FOR ELECT, I4ECH, PI-BG, GAs EQIJIP, PiEFABS
& IIISERTS ***
pAyirEr{T
r,lErHOD:
ficrSn fl cr:cK (PAYABLE
rO ilHc)
E axERrCAr/ ExPREss
I r.rcTvrsr
I orscovrn
+**,t*rf*,i,t+**,8*+**1.*,t,*,t*+:i**+*)t)t)t**{r+'t**********:+*,t+***,t**'t,t*****,t*{*!***,i++,t,t*+++**+,t**)r)*
(roR
orrlct ust ctLY) REVISED DATE O4l1t/12
sETBAcKs: F:- LH:- Rll:- B:- H-/<
:- 'ATE:- FLooD:
- -
*r. l{: '
N
crw:
SUBDIVISION:
4.---'-
XO\Lc -Ubl, i. ,. .,
CITY I
1bn)
[rto<_sr
NEId
HANO\,ER COUNTY
BUILD]NG PERM]T
APPLIC}TION TYPE: RESI
DENTIAI
?LEASE
i.!is;IR
il,t QiTESTIOTS
^P?U
CAA,E TO
\O.n PRO E(.r
"
Roj
ect Rsponsi br I rt y'
,m
AFPLI
CINT S
APPL I CA?I O.I
Nurl'e a
oArE; I1".\\D
, Qro:T5il-cc6
zle:
i}gl,o^ rr,.a lh^5F.. '
SUBOIVISICN i
?Hoi,rt i
C
ELOC( r LC: Ii
1r\
PHONS
':ST
-loll-0'lbt
e(Ts'r:NG CONSTRUCTTON:
E ALTERr.Tror.:
! rer.loveriOlr
f ceNrR\L REeATFS
! as:,ccrrrolr
lc\, cosrRLr;lt
otp mrcr :\Ew REsr
cEl6E _:.
I rm n
or ro Exl srr 16 REsl EErcE
:I}Ij"^sE C}€O( A\D ANS$TR B€LOW IUL NiAT APPLY TO }g.N PRO
ECT:
;Re!Niicus
05, jl.r:PTION 0!- tio*(
ZIP
otrYl0 rro,0t*Q3
PHONE tr
?l':O.\E F
q\0-451-
STOR,AGE SHED
-
SF
.rtr c;j-:.'-:
_ sa Ll t.:: G{Rq(E.!Lmcr:u1-sF E !(al'i[xlbfrl;-
5: . l
t - : rr.::f l- .. R-:Ellii:_ .: l:
l !., E -' .t."i P ':.-. I 8. . t :.
?ao?:R?y UsE / cCCUpANCy:
EhrNc:E F.q.IjrLy
Sr
c , !r.!-
s r--:
! v: ftp.r
m)
sa O:aER:
TOI^L IEATEO SQ FT
-
ToI.AL SQ FT LI.f,ER R@F
,- ToTAL AREA
sQ FT,-
-
Tor,AL pRoJEcr oc6TrL.*ro,) Ab,qCDC() cr sr.cnr es-
_.
Is /:,ty ILiCTPICAL, ?Ll,.',sIliG
o! irr$NICIL, ,.{ork 6erng Cone
!o rhe Accesscry
Srruciuie:pft". ! No
w
Tcr^'ltiicusE
orscL. rJERlhc6b/a il,
nr!.0 hr.n.lhn h nir.lrt4!:on 1t
co.recr
lrd 6u worr
tl5ccdrly
rii a!.
sltb ElIdh! cod..n6 dton.r.9pi.sb5 sEt &1dTdtt.rrol.,.ycn!r!!r t n€ srrovod pir.rs|d rpGir..Uon.q cn!.go h co.t -b.or
@i, olvnecor aaa {!!rr[bnr.
@.rttr hbn!t6^ .- OT€:
C;'::: A,/ CCN T R..'\CTOR
, [\b\r
Tho..BC
D.sropo.nt S.fl,c6,Conb,Eti:r!^orr.d
D. r. vioErb^ o, uto Nc
st.t EJdr .-
I OInTU:5
\\iirr{'
rq
IS
I]€ PRCPERry LCCA]ED
IN A Fl
ixiSiilic IMPCRVICUS
ARg: _
N:!,T
I}fEFVIO:IS A!iEA
I
-
l(ar
!;Ai'11
s5H:::r
viiJ6 crpu;
l-l cENTRAL
ser
"' .rrlr..
,rrtr'.r.n!)L- VLI 5
S\rgro*ure-
L:'"'" o?rIC'Rr
-
orzlP' J-o r
s
t-va rr K
| .s
the
i rr.fJ
,',
-/
lF€.::i'':;. ! c::{.iLniiy !
Pn,:t!'T
xiiri-)r: I cos, !c,r,4C'.1,1SA
I u sccr"re
to
5 utr*
n r sED o{rf ]::::.:
a
?{fin il-_ 8IE+2ft.
HIT tEE: S
r)U,,
.{), :-/-' I llE+te]iS-
FFcFEFry O./S€R
S :,$}:E:
O,/SER S AD)REss:
AOLiT:SS:CIlY:
:1&IL ADDSISS:
D
I cuel*
MT E YEs
Elo
X A/o FLAN/S}
NEW HANOVER COUNTY
BUILDING PERMIT
APPLICATION
Nunbe r
(offi,<€ Ure)
APPLICAIIN TYPE: RESIDENTIAL
PLEASE AIISI,/ER ALT QUESTIONS APPLICABLE TO YOUR PRO]ECT
"Project Responsibilitf'
APPLICA T'5
M E:
DEVELOPER:
CA/ f/7Ls b/c-flOl
!/gLeDATE :
PHOt'tE
{:
PRO)ECT ADDRESS:
SUBOIWSION:
PROPERW OUTIIER,S tIA
E: €I E -A +
[2nrJ
OI{ER,s ADDR
CO{TRACTOR:
ESSs./Y (-Z! k5 e,.,t yP p4 CITY:
Etll(47lv.l
ADDRESS: I
ItOc€Oc
ZLP I
BLoCK f: _ LOT #:
CITY:
e174r/PHO
E #:
.2
|,.{a/f
L-
LICE
ITY:
t{sE f :
HA
h/t ctr tr,c70-
srtZLzIPtZYtcj
sr./-!ut7-19'r'J
L/tt1Y
A
P\i t: tfi
ElitAIL ADDRESS:
e n'l Qtscott Ja ult ou,
t a"11,<.atn PHq{E
r: Z -l C)
*boc
PROJECT CONTACT PERSON: -:'t-€P}ONE
$:Atqrr 3'/
ExrsTrr{G coNSTRUCrroN:
I alrrnarrot [ftfruovarroN [fceruenar- neerrRs
I RELocArroN
NEh' CONSTRUCTION:
n ERECT NEt{ RESIDENCE or
! 6Xr9111s TO EXrSTII{c RESIDENCE
.TPLEASE CHECK AilD At{Sl.lER BELOT{ ALL TI{AT APPLY TO YOUR PROIECT:
fl nrr crnace
_ sF
I suunoom
-
sF
! orr eanace sF
E poRcH
_ sF
I eoou
_ sF
f] sronaee sBED
_ sF
f] cne rruxous e5F
! oecx
SF OTHER:SF
TOTAL HEATED SQ FT:
@h(),TOTAL SQ FT UNDER ROOFLtolt TOTAL AREA SQ FT: _
TOTAL PR0J ECT COST 1t-ess r-o9 : $49ooo-r .,
rr f OF STORIES : /_
Is Any ELECTRICAL, PLUITiBI
c or I,iECHA
ICAL Work Being Done
to the Accessory Structure? [ Ves [ ruo
If the pnoject
is a Relocation,
is there a Natural Gas Line on
the Current Site? [ Ves [ ruo
Is thene Electrical Power on this Building?
[Zv"r Ito
pRopERw usE
/ occupArcyr
I srrucle rarlrr-v
I DUpLEx
E rollNHousE
*tt l.r,c,y' k-O
/.
DESCRIPTION OF WORK:aq,J
4.4,cL*etu.ltv*S oll k at,-{,?
lar,
4o./ 1t
+-
,../ ao-t2, .* L
*
M-) C C- e.-4t>-*
DISCLAIMER: lh6r€by certify hal all inlblmaton in
his applicatjon is
conecl and allwork will complywih lhe St6te Building Code andapplicable
and ordinances and regulations The NHC Development
&Nices CenDr willbe notlied ofsnychanges an h€ app.oved plans and
f,l,
l\L
conracbr inbrmaton. ".,.|OTE :
OUNER/CONTRACTOR
tlArER: ZrCFPUA
5EWER: ErcFPUA
, \),tC.-J
Pennits willbe in Viohtion ofthe NC StaE Bld Subjecl Up
J,,(o
J?\ I LL SIGNATURE:
hri
'*t +,1't*'l * rt:i * * * * 't,t ** * +!t * *:** +*,t+ * *,t r* ,*,t * * *,*
! crrurnau wrlr
I commuurw svsrrr'l
t,<
,1,
at e..IS THE PROPERW LOCATED IN A FL@DPLAIN?
EXISTING IIIIPERVIOUS AREA:
-SQ
FT
NEW II4PERVIOUS AREA:
-5Q
FT
I I YEs lz-No
TOTAT ACRES DISTURBED:
EXIST LA|{D DISTURBING
lrntrr: I ves
F] rc
! co+runrw svsrem
! PRTvATE wELL
I cemnnl srerrc
I PRrvArE sEPrrc
**+ SEPARATE PERI'{ITS REQIJIRED FOR
ELECT, llgcH, PLBG, GAS EQUIP, PREFABS
& INSERTS ***
PAYl4El,iT I'IETHOD:
tr CASH
I cxrcr (IAvABLE
ro rrc;
I uenrcm :xrness
fl r,rcTvrsr
tr DISCOVER
,t
+**,t*'r *** + * )t
**,t *+it,f +:t * *,* * * )t
*,t,t* *,* +*,* * 'i ,* :r ,t +,i * *:t,*:*,*** * *,1* *** ** * * +* *l *,1** * * *,*:l**,*:t*,1)* )*
* *,r
*
(FoR oFFICE USt
0 rY) REvIsrD DATE 04111/12
SETBACKS: F:- LH:- RH:- B:-ZONE: 0F FICE R:
Approval:- City:- DATE:- FLOOD:
-
BFE+2ft=
-
AVil
)ottn u 92w=tt-e
f,'-
#
X /VO F LAI\i s *
NEW HANOVER COUNTY BUILDING PERMIT
apeLlcArrqt
mE: R ESIDENT IAL
Pttas€ aNsl{ti ALt QUISi:oNs ADP(:CA8[[ r0 yOUi pnolf(T
"Proje€t Responslbilit!/'
&atu- bZz-
APPLtC,.TI0
l{uober
(off1.. us.)
/,('a''
Tlt,c i irry'i // 1-/APPLICAI{T'5 tIATlE:
OEVELOPER:
oATE: /
_ PHOI'IE
*:
PIO] ECT ADDRESS
CITY: ta
l ll;/
SUEDIVISIOTI:BLoCX l: LoT r:
PROPEnTY O{,rt'ER'
5 {r,,rE :
PHOUt
c:
&R[R'S ADoRESSi c) t l\/ i' (:?d CITY: \t t ( t ti : ZlPt-l . ., :
Sl:!
corrnacron: i/' +i!'LICETISE #:
CITY: rr -iADDRESS: \I-. "
PHO'{E
[:
PBOIIE S:PRO]ECT Cd(TACT PERSO,I:
EXrSrr{6 COT{STRUCTTON:
I ALTERATiON R
ENOVATION
flce r:nar- nrratns
I RELocAT]oN
irEl.l corsrRucrror,l:
I rnecr NEH REsrDElrcE or
f] morrror ro Exrsrrirc nEsrDal{cE
T.PLEASE CHECX ANO ANSIjE! BELOJ ALL THAI AF9!Y TO YOUR PFO]ECI:
Di: GARAGE sr -l ponrs (F
PooL -- sF I sronlcr sHEo
--
sF
f cnr eruxous e
-
sF
! rr; cruce -- sF
sil NR00f4
DECK
_ SF OIHIR r
-
SF
i, r.7 tC l(PROPERTY USE / OCCUP,INCY:srNcLE FAI'IILY
] oulrrx
!
c1j L"; ,
-
T0,,]r[]0us E ri
DESCRIPTIo l OF WOIKr r i."..,'.' ' l
'i t/,-r t,-.i,-- .,
4*..j,r***r,*a,r*,.,,,;1..;,-.Jl:'IlliTi,.\r.'-...";';-i-,*.---,,'--;-."--.-:..1r,1**r**r*,*r+, /
DSCLAnIE Ft I hor.b y
cenifi i!!! 3{ nbm 6ton ir t\I. .pPlic.tOn b c o necl and a! wolt rill
s.rd 6rdina.ce. J €
t.tal:r.3 th. NH C O. 'reroo.mn! s. tuao.
c..t. *il br nolfi€! ol ,^
Eonr.cDr
'n
b6rDo^ -rtcrh Anywor( Pc.lonrea $//O ?ra Aopoo.ai o.Flstllbi6
ordNE R/coNrRAcro *, \ lu
, 'p,'(',-. -l '. , 'i
-' ^(-
co p y
wle
'le
Srae 8ulldng Co.. dr :
,,i.r*' .ook.b€ SlaE ,d .c.t t.?.
yda.ges. tr. arr.rcd oaar r<;,t'1r ar": -.;ri. colra.D,o, / ,
VoLbo. o'6€ NC
Stlb Srro vrf .^. 5
-r e. ".,, . .i To 3500 OO..
SrGI{ATURE: ,/ t,1t'
), .t
IS T}IE PROPERTY LOCATED IN A ELOODPLAIN?
T: YES.lo
,t
EXlSTIt'lG I P
5R\EC[JS AREA:
-
SQ FI
ilEl,l IhPERVIOUS AREA:
-
5Q Fr
MTER:
SEllER i
f|-crrua I couwrw sys-rEu
n PRIVATE wEtL
ToTAL ACRES DISTURBEo:
---
Exlsr LArirD DTSTURSIIG prRlT- | I v:s I i r,to
CENTRA! I,I E L I.
I ceHrnar sEptrc
E pRrvarE sEprrc
I corlnrl:ri' sv:ru
$s iv
p
.F PUA
.rf 5
PAY,'IEt{T rETHoOi
PERiIITS REQUIRED FOi ELECT, I'IECH, PL8G, GAs EQ!-'IP, PREF4BS
& INSERTS
"'
cos,
f cxrix (payABLE
ro
urc;
Ittnrcot txrnrss
E ,.urrro I o:scovrn
EPARi ]
i
--
zoNE : -L-,-r OF FiCER :\i'w
(roi
oit:(l ,rst o!LY) rEvIs{D
!;- 6.,,1r it
S|TBACKS: F:__--: LH: Rhr - 3: .-,.
. BF:.
2ft=App.oval:.- CitY:- DATE:: FLmo:
- .t ,r.
:
T€z tG -v3
EItAI L ADoR E 55 i
TOTAL HEATED SQ IT:IZ ''
)i TOIAT SQ FT UIiIDER ROOT
{..':-::'' TOTAL AREA 5Q FI:
TOTAL PROIECT CoST;r-e$ uor) : $ -t - /t'1:3(*- 1v^, * OF STORIES:
L
Is Any €LECTRICAL, PLUltBItlG or f,IECHAT{ICAI
Wo.k Being Oone to the Ac.€!s..y Stru<ture?
f V"r f lto
If the project is a Relocat:on, is there a Natural 6as Line on the Cur.ent Site? f v"t I lo
Js there Ele.f ical ecre. on th:5 Euildingl
l-]ves l-'] No
'.'-.:,.... !
e
NEId HANOVER COUNTY
BUILDING PERMIT
APPLICATION TYPE; R ESIDENTIAL
PLEASE ANSWER ALL QUESTIONS APPLICABLE TO YOUR PRO]ECT
"Project Responsibility"
Clear Form Print
J0/b'(?3b
16-00080
APPLICATION
Number
(office Use)
APPLICANT'S l{A}tE:
sharl,:. .I iric.Je DATE: 1.,r2./:ar6
DEVELOPER:PHONE #:
PROIECT ADDRESS: 3219 .l,.L1mers Drrve
SUBDIVISION:
CfTY: I/!'ilminoron
CITY: Wllni nqton
LOT f:
PHONE
#: ) i.1-392-')426
sT ' r.r, zIP ' , f,,r r,
l
ST: rra ZIP: . E,r'.r !
SF
BLOCK f:
PROPERTY OllNERJ S NAI{E: Kenr sra:1r..,
OI.INER'S ADDRESS: 3219.rlralniers Dr i...e
CONTRACTOR: s cD.- he
as: FoLrnia!ioi, Reparr
ADDRESS: 642- A !irndmrLl i,.,'a,,
EIiiAIL ADDRESS:
rjhannonnariesefr.smait. conl
LICENSE #:
CITY: iirir:rr.,gtor,
PROIECT CONTACT PERSON: .
,.:.:.:.:. :t- l::r.re PHONE #: '- - :--.:
EXISTING CONSTRUCTION:A LTERATION R E NOVATIONGENERAL RE PAIRS RE LOCATION
NEW CONSTRUCTION:ERECT NEW RESIDENCE oTADDITION TO EXISTING RESIDENCE
**PLEASE CHECK ANo ANSL,/ER BELOW ALL THAT APPLY TO YOUR PRoIECT:
ATT GARAGE
-
5F
SUNROOM SF
DET GARAGE
-
SF
POOL SF
PORCHSF
STORAGE SH ED
-
SF
GR E ENHOUS E
TOTAL HEATED SQ
SF
FT: 1965
DECK SF OTHE R:
TOTAL SQ FT UNDER ROOF:
_ TOTAL AREA SQ FT:
TOTAL PROJECT COST rress rotr : $ i1.00t # OF STORIES: 1
Is Any ELECTRICAL, PLUMBING or FIECHANICAL Work Eeing Done to the Accessory Stnuctune?
fl Yes
If the project
is a Relocation, is there a Natural Gas Line on the cunrent site? [
!No
YesT No
Is there Electrj.cal Power on this Building?T
ves flruo
PROPERTY USE
/ OCCUPANCY:S]NGLE FAMILY DUP L EXTOWNHOUSE
DESCRIPTION OF WORK:installinq 9 push pier assemblies on the outside foundation wa11 to stablize
the foundation of the home
an d ord in ances and rcg u lallons The N H
C De ve lopmen t Se rvices Cenbr will be nolified ol an y
changes in he ap pro
ved plan s and specifcalions or change in con lractor or
contract r inbmalion "'NOTE Any Work Perlomed WiO he Appropriate Perm its will be in Violation ot the N C StaE Bldg Code and Sobiecl
t Fines Up To
t500.00"'
OWNER/CONTRACTOR:
.h:r:, rlunrerSIGNATURE:
IS THE PROPERTY LOCATED IN A FLOODPLAIN?
J-lves
E rc
TOTAL ACRES DISTURBED:
SQ FT
SQ FT
(k",;, r/*,*-
(Print Nane)+*irir++++it:**,*,**:*****)r)rr(***tr<r(++i(i.++,*,*++{.i.i.r.rtr.*,4****l.r***++,*t'**,1.+*+****+***+*,t****,t,*,i,})t+)*+**
EXISTING IIVIPERVIOUS AREA:
NEW IIVIPERVIOUS AREA:EXIST LAND DISTURBING PERMIT:
[-l vrs
["] ruo
COMMUNITY SYSTEI4PRIVATE WELLCENTRAL WELL
! cerurnar sEPTrc
E PRTvATE sEPTrc
! comtlururrv svsrem
IIATER :
SEI,IER:
CFPUA
CF PUA
ZoNE:
_ oF F ICE R:
Appnoval :- City
*** SEPARATE PERJI1ITS REQUIRED FOR ELECT, IIIECH, PLBG, CAs EQUIP, PREFABS & INSERTS ***
eAvMENT r,lErHoD:
I casr
I crecr (payABLE
ro NHc)
E AI4ERTcAN ExpREss
I tc/rrso I orscoven
{r+******r.1.*+++++**r(r(1.1r1r*{.*****,*,***)tjt+*******,t********+++**,i*****,k*,1*i.*+1.{:*{r****(**xx*****
(FOR OFFTCE UsE OlltY) REVrsEo DArE 04111/12
SETBACKS: F:_ LH:_ RH:_ B:-
:_ DATE:- FL00D:
-
AV N
BFE+2ft=7t fb
Email
ZIP i )rt,i).)
PHONE S: 910-r94 46or
'?(I
ane
NE
,...?. -- ,t ^
>t Lt/Wi. OOr"
HAT{OVER COUNTY B
APPLTCATIO TYPE: RE
UILDING PERII1IT
SIDEIITIAL
rEz k -€2*
?slG-631
APPLICATIO'{
Number
(office ure)
l,.r
f;tr'
ffs
PLEAST 1'.'rER ALi QlraqIIL\< dPPIICAgtE IO vollR prc-t-i
. "ProjectResponsibility"
',..'.'A9PLICINT, S iJATE :
DEVELOPER:
___ DATE
PHO,,IE
S:
PRO]EC'i AOORESS:
SUADIVISIO:
crr/:
BLCCiI t LOT i: _
PROPERIv oiSI€R',5 l,l.Al,tt:
OatlER'5 AD9P€3\:
' s/; !.;
i Lv. r+
-{
. .// t-
PHCNE
#:
5T:
J/ -t tCL )f )Llu<iiZtt
Rl
fl
CITY: y-. i-,,.,; !' "
LI'TI'ISE B:CONTRACTO
ADORESS:
EI1AIL ADORTSS:
I arr cnnrce
-
sF
s uNRool.l 5F
I cnrtlnouse ---- sF
PROP
CITY:ST,, ". )14\ t
PHtX.rE
S.r(4,-17
PRO]E': CONTACJ PE RSO
EXrSrr 6 corJsriucrroL'
fiALiEtA:I3N snelova-ron fieerenal nrenrns
I RELoCATro^l
t{Elt co sTRUCTTON,
f, rneCr EW RESTDEI,ICE o"
f] lOOrrrOlt ro Exrsrr G REsroEticE
..PLTASE CHECI( AI.IO ANSUER BELOI.i AIL T1IAT APPLV TO YOUR PRO]ECT:
PHONE *:'-r t7)q
TOTAL HEATED SQ FT:
-
TOTAT 5-Q FT UNDER ROOF :
-- -
TOTAL AREA SQ FI
:
-_
ToTAL PRolEcr cosr,L.,s,,or) r
I XSerO @ * oF STORIES:
Is any 6LECTRI6aL, PLtf4EItl6 o. IIECH11II6A! hlork BeinS Don€ to the Accesso.y Stru(turel
f, Ves-
f] f'fo
If the p.oject is a Relocation, is there a Natunal Gas Line on the Current Site? fr ves I uo
Is the.e Elect.:cal Powe. on this Euildingl [f,lves l-''] to
l+"!i !&
shJr-.{-ERTY USE
/ OCCUPAIrcY:sIN6LE. i
0E5CF iPt ICN OF WOR(:
-__.1
POOL
-
5F
DEC(SF OTH
LYOUP LEX T
wro
-r Approp. ::i pr:
- :r wirr
b. ,n vela&n or lh9blc €eE
h,la i-\ SI@'IATURE: -l
STORA:T SHE8, SF N
,*, tUrl
tlJtr".^s' 5Osf
l-}]
il
"J*OISCIAIv!q ne,ear/_r'{. 4 er t:)ia!/wrh ne Slalc B: ,!d.n!
conreb, inb.m.e.'-liorg,art \El{r
.ode ].d tll or., ..
'c;n.
r'
( r^c iasc'Ir..^15r, a.l.tc i
s500 0f"
OU/NER/CONTRACTOR:lL)i
IS TTE PROPERTY LOCATEO I A FLOODDLAIN?
f] VES 6z] M
d-r
EXISTING IIIIPERVIOUS AREA:
1
sQ FrTOTAL ACRES DISIURE'D:
EXIST LAI{D DISTURBING PERT1IT:
f] YEs
fruoNEl./ i,',PrRVI0U5 AREA:SQ FI
I{ATER :
E CFEUA
f com,urrrv svsrrl
I PRJVATE wELL
I cerurnal welr-
5EHER:
El creun
! CENTRAL SEP-Ic
! rntvlrr srprrc
n :oitl'{.lu I'iY SYsrEM
..+ SEPAfu\T; PIR'IITS REqJIRED FOR ELECT, IIECH, PL86, 6A5 EQT IP) PRTFASS & INSEF'Ts
''
,o"rr* .rrr,ooi-
[.oi, f].*..* (payagr-E ro rxcl
f, ru.renrca1 rxnnrss
I rclvrsa
f orscoven
{FOr ( ' i t J9t OiLY) ittlsto !'r! S'/I1'12
z0Na OF']CER 5: TBACKS: F LH
approval;-- City: - DAi':----j-:-! FLOOD:3FEr2{t=
f,voo
L_..j DET CARACT sr Ll PORCH
--
SF
f+
t\
*1anedse Ewe4i. Coz--"
NEW HANOVER COUNTY B
APPLICATIOTT rrPE; RE
PLIASE ;I,s}ER AIL OUESIIONS APPL1
peRmrf
IEZ b -t
L
7\-LL
UILDING
SIDENTIAL
()v'a\n(lL
Jotb-6st
caStt To YouR Picia.T
"Project ResponsibiLity"
DATE:APPLICANT'5 IU$IE :
OEVELOPER:PHONE
fi
810(X t:
--
LOT d: _
PloWE
r: q/i)')dL:' tQiq
sr't
llzrPt )(4lfcfTYr t-.l*,,.c l.^ ,'
LICEHSE *i
,1. c <..r
PRO]ECT ADORESS:
SUSDTVI5IO}{:
CITY:
PROPERTY otlt{ER'S Mr,tE: / "'.4/..
, .-tr (-
&JNER,S a 8,.- rn
r? F
EIU]L ADDRESS:
PRO]E(T CONTACT PERSOI{:
PROPERTY USE
/
DESCRI TION OI WORK:
COTITRACTOR:
ADORESS:
&.
IATER:
fi
Stffn : ffi
E-.b ottr.u
st:
_ zrp )911t1
PHOJE S:
PoRCH
_ 5F
5TOR
PHO',IE
$:c{aLnl77qZ
RE
LOCAI lON
to
47t7
ExrsrrNc coN{srRucrroN:
[t al::narroN ffinetwarrol
fi ce renal arerrns
f
NEt'l CONSTRUCTIOT{;ERECT NEH RESIDEI{CE o.ADOIIIOTI TO EXISTIN6 RESIDENCE
i'PLEASE CHECK AND AltSl/ER BEIOI'I ALL THAT APPIV TO YOUR PROIECT:
ATT 6ARA6E
-
SF
5UNR00H
_ sF
6REENH0US E
_ SF
DET GARAGE SF
Ili'?ffi
*, ,?'surPDECK 5F OTH€R:
ToTAL HEATED SQ FI: _ IorAL 5Q FT UNDER ROOF:TOTAL AREA SQ FT:
-
ToTAL pRo)Ecr cosrrr*.r"os,
t !,5OO 6 * oF sroRrEs:
Is Any EL€(TRICAL, PLUI'!BIiiG or |IECHATIICAL tlork Bej.ng Oone to the Accegsory
Strr,rcturel f Yes
If the proje(t j.s a Relocation,
is there a Natural 6as Line on the Curent Site? 8) Ves
Is there Electnical Po!,rer on rhis BulLding?[f ves f]lo
No
OCCUPANCY:SIN6L€F
lv I ourLex T0i.
Nc
IJ+,".h"J"*1-
&Ho
TOTAL ACRES DISTURBEO:
EXISI LAND DISTURBING PERT,IIT:
E YES
Erc
i:
2
DISCLAIMER I hllety co{ry t k
wlr con?lywrtl lte S'..tc BJiE ng Code
i$d ad ooer ;titkat,re S.,rD a.ld rocaj tars
.nd odnances .nd 4orlrr,rn s th. NH C !J3 r !rpn! r r Sa fu:ce 3
Csnar wrl b! .o tr5€d
o, any chr qos
n .E sopro€d rr.. i ano
tD..r6a ans or ch angc ,n
cont^&b. o,
conEebr inlomarion'NoIE-
OWNER/CONTRACTOR
,b
IS THE PROPERW LOCAIED IN A FLOODPLAII{}
EXISTING IIiPERVIO'S MEA: I5Cl: SO TT
NErd TT4PERVTOUS AREA:
5c1l 5Q Fr
n/i"wrYl, Pe,lo.maa W,O h
, '1.1. lL1,-^ i
Le Arprop,i.E Peffiirs willbo ln Violaion ol nl9N,C€hr8dqc{d})6d
Stan::+,,rs up To !500 00"'
ar-\ sro{AruRE: -tz:d&|. \.-- --r'---,--
€
YE5
SETBACKS: F: r.,,e LH: r-,,." RH:!-)al B:
,'., 'r
c F or.lA COI.ITUNITY SYsTEHPRIVA'I"E l,,JELLCENTRAL lnELL
CFPUA
LI CENTRAL SIPTIC LJ PRIVATE SEPTICCOSMUNII'/ 5Y5TEI,1
... S€PAF}]E PEMITS REQUIRED FOR
ELECT, i1E(H, PLB6, 6A5 EQUIP, PREFABS
& II.ISE
pAyr,rEr,rl
xETHoo:
E cosx
E cr',ecx {PAYABLE To nxc; f]menrcm exnnrss
I n.lvrsl
RTs
"'
DlSCOVER
t'oR cr ':. t u5t orrrLY)nEv!ta0 r,AT a 0./ 1!112
ZONE:
Approval:-* City DArE. I \i- \1, FrooD
',1 8FF+2ft=
ur
3
N.i')
TT00
.l
APPLICATIONI
unber
(offi(e Ur.)
ffi
-t
C ITY:
flrcor-_sr I
u
'**oneltlse ywart
NEW HANOVER
*lrro
{uwsx
V4Yf'n
COUNTY BUILDING PERMIT
APPLIaATIaT rYPE: RESf DENTIAL
PLEAS€ ANS|IER ALL QUESTIoNS APPLICABLE TO YOUR PRoIECI
"Project Responsibility"
€-r'-{
CITY:
OATE :
PHOi,IE
#:
ZIP I
BLOCK *: LOT #:
aotGb3T
PEz tb_gL
APPLICATION
Number
(office U5e)
APPLICANT,S NAI4E:
DEVELOPER:
PRO]ECT AIDRES5:
SUBDIVISION:
PRoPERW ol, ER's M!'lE:
Lll, lra*4:: L:l! L
PHONE
S:
ST
qr0 'zoo
t?rq
09f{E R
' S t/czrP2 r(4 I
CONTRACTOR:
ADDRESS :
&
Q Eu+r. fl t, o,- crrY:
LICENSE $:
CITY:
,t, c<,
PRO]ECT CONTACT PERSON:
ExrsrrNc coNsrRucrroN:
xl o.rr*orro, ffifnerovarroru
ficrrurnnl nrearns
EI,IAIL ADDRESS:
suNR00t4
sr:
-zw24I\lPIONE #:
ra
4tl7
PHONE
*:<iloLnl7)5Z
RE
LOCATlON
NEt{ coNsrRucrror{,
! rnrcr NEU RESTDENcE o"
! aoorrror ro €xrsrrNc REsrDEr{cE
*+PLEASE CHECI( Al'lD AI{SWER BELO!, ALL TI{AT APPLY T0 YOIrR PROIECT:
! arr canace
_ sF
! oer cnnece
_ sF
! eoor-
-
sF
GR E ENHOUS ESF
fl oecr SF
SF
! eoncu
-
sF
-o,lll-ffiJ'?m,o-.
SF
SF
5osP
ToTAL HEATED SQ FT:
_ TOTAL SQ FT UNDER ROOF:
_ TOTAL AREA SQ FT:
_
ToTAL PRolEcT CoSTlressLoe : $ 35elO@ # oF sToRIEs:
Is Any ELECTRICAL, PLUfitBIt{G or HECHAfiICAL Wo.k Being Done to the Accessory Structune?
[ Ves [ ruo
If the project
is a Relocation,
is there a Natunal Gas Line on the Current
Site? [l ves [ ruo
Is there Electrical Power on this Building? fives l-'l Uo
PROPERTY USE
/ OCCUPANCY:SINGLE Fv ! ounr-ex IOW
ZONE; OF FICE R:
I4".sl "-{roA
(FOR OfFICE UsE Ol'lLY) REVISED DATE o4l11l12
SETBACKS: F: LH: RH: B:
E
vDESCRITION OF WOR(:
DISCLAIMER I he.eby certity t'allintolmation in
his will comply w ih he Stare Bu ild ing Code and att o her apptic abte Stab and ocat taws
and ordinances and regulatjons. The NHC Developmenl S€Nices Centsr willbe notfed ot any changes in he approved plans and specifcations or change ir conr-acrcr or
contaclcr intomalion.'*11w/O tle AppropriaE Pemitswillbe in
Viol€lion of thCode Up To $500 00"'
Ot.',NER/CONTRACTOR :SIGNATURE :
+*,r+*,r**r.,rr.***+************til'lllit*"Jr**********)i)i,rx+*+*r**,f**:ri+++**r.**+++***ir,*,*r.***xx**
rs rHE pRopERw LocArED rN A FLooDILATN?
[ ves -El no
EXISTING IIITPERVIOT'S MCN: I5CAP Sq TT TOTAL ACRE5 DI5TURBED:
NEW
II4PERVIOUS AREA:
SO5Y SQ FT EXIST LAND DISTURBING
PERITIT:
]:-I VES [ ruO
MTER:
I crcun
! cofir"ruNrw
svsr .r ! pRrvArE T,JELL
! crrurul wrlr
sEwER:
I crnua
! CENTRAL sEprrc
! enrvare srerrc
f] cortrMuNrry sysrEM
*** SEPAIIATE PER'4ITS REQUIREO FOR ELECT, MECH, PLB6J CAs EqUIP' PREFABS
& INSERTS ***
paynENT r,lETHoD:
Eclsn Ecxrcx (IAvABLE
ro r,rxc
) E ar,rrnrcar,r ExpREss
[ "crvrso I orscov:n
x)i)i*x*+*,***,1,*,*,1+**,*,t***++*i.+,1,1+,i*,*,t+,i++,i,r++++*,*+++,t*,f,i+*)t*)i,t*+*+,t,t*,*,***+******+,**+,*+***,r
I l..Lt,rrtil,r,tru:r-?bl;
tEtr
):
!t
ADDrovaI: Citv: DATE: FLoOD: BFE+
AVt{H=voo-
,...'. '
..&,,)
L../
s,I
I
NW)o ttp .U4g
NEI^J HANOVER COUNTY BUILDING PERMIT
APPLICATION TTPE: RESIDENTIAL
PLEASE ANSI{ER ALL QUESTIONS APPLICABLE TO YOUR PROJECT
"Project Responsibility"
APPLICATION
Number
(office Use)
APPLICANT'5 NAME: Blanton Burldlns, lnc
DEVELOPER:PHONE S:
PROJECT ADDRESS:ll?7 Lf €-e4/d. c''r'.>.<) nt-?-ctIy
i w/t ,,r-7.zrP ; v:=€ n2?
SUSDIVISION:lt Z.ftt ?? u.r o
675 BLOCK f:r:of *: ,O
PROPERTY oWNER'5 iIAME: Blanton Burldinq, lnc PHoNE S: 910-538-7888
ou{NER'S ADDRESSi P.o. Box 3\22CITY:Wi
lmrnqt on
sT: NC zIP :
28_1!!_
CONTRACTOR: Blanton BuiIdinq, rnc LICENSE #: lrq 8r
ADDRESST P.cBox 3122 CITY: wilminqEon ST :
N_ zIP : !3399
EltlAlL ADDRESS:
chri sblanton@ec .
!r. com budblanlon@aol. comPHoNE *: 910-s38 7888
PROIECT CoNTACT PERSON: ch!1s Blanton 910-254-0940 Bud Blan!on PHoNE *: 910 538-7888
EXISTING CoNSTRUCTIONI ALTERATION
! nruovrrrou
I GENERAL REPAIRS RE
LOCATION
NEld CONSTRUCTION:
-/[f enecr NEN REsTDENcE or f]ADDITION TO EXISTING RESIDENCE
**PLEASE CHECK AND ANSiIER BELoW ALL THAT APPLY T0 YoUR PRoIECTT
flarr caaree |di sr I orr cnnnee
-
sF
6^11 3/6 sr
! sur,rnoom
-
sF
! cne erurousr
_ sF
P00L
_ sF
DECK
_ SF
STORAGE SHEDSF
SF
ffi 6"i,ral .4 .1-
$oad.zlc 't 7
OTHE R :
TOTAL HEATED SQn,3346 TorAL sQ FT UNDER noor:'d/?? ToTAL AREA sQrt:7/77
TOTAL PROJECT COSTrre,"r:o . I47o aoa * OF STORTES: 2.5
Is Any ELECTRICAL, PLUI]BING on mECHfi ICAL Work Eelng Done
to the Accesso.y Stnucture?
If the project
is a Relocation, ls thene a Natural Gas Line on the current site?
rs there Electnical Powen
on this Building?[ves [i(o
es 5r, vc /ciL
No
PROPERTY USE
/ OCCUPANCY:SINGLE FAIVII LYDUP LEXToi^lNH0US E
DESCRIPTION OF l^loRK: constluct new
single family residence
ard ordinances and regulatbns. The NHC Developmeni Services Center willbe nolified ol any changes n he approv€d plans and specificalions or chango in
contraclor or
contactor informadon.
"'NOTE:Any Work Performed W/O $e Appropriale Permils will be
0hlNE R/C0NTRACT0R : q41ie 9134qq4, B:.ant
on B1
da rnc
(Prrnt Nan€)i.r(l.)t*)ti<***r(*r!r.*i**x*i.*xxxr,,l,t,tx,tix**,**xxx,i*xr,+*rr++++'fr+*+xlrtr,.:t+irlrit+,t,t,t*{.++)t,tr.,I,t,tr({r+x{(+:+*:N
IS THE PROPERTY LOCATED IN A FLOODPLAIN?
EXISTING IIIPERVIOUS ,fiIA, .O SQ TT
NEUJ IMPERVIOUS AREAI TZ'18O SQFf
PUACOI,IIIUNI TY SYSTEIVIPRIVATE I,IE L L
! cemrRrl wrl r
! conruururrv svsrem
bIATER:
SEI,]ER:creul
I cENTRAL sEprrc
I cnrvere seerrc
pAyi4ENT
mErHoD:
I casr
f] cxecr (nAvABLE To rurc; f]anenrcm exnness
fl ,c/vrso I orscovrn
)*)t+*x**x,*;*i(*i(*x*,***)t')**i<i(*+**,*+,t**)k)t(*****r(,(r()t)*)*)kE*)N*r(,.r()*r(,.)t)N*)**r(********E8*)k**)k*:trr*a**x*it
zoNE:
_ 0FFrcER:
(FOR OFFICE UsE
ONLY) REVISED DATE O4l11/12
SETBACKS: F:_ LH:_ RH:_ B:_
Anoroval: Citv: DATE: FL00D: BFE+2++=
^"NComment: PERmIT FEE:
,n V otar,on ollne NC
SEe Btdo Cod€ and Suo,ecl o F,nes Uo To $500 00"'
srGNAruRE: 4'.*---
YES NO
TOTAL ACRES DISTURBED: '3,
EXIST LAND DISTURBING PERI,IIT:YES
$ 1,?rl l. 00
oarEt
l/tv//6
Yes
D
6
NE[^J HANOVER COUNTY BUILDING PERMIT
APPLICATION IYPE: RESIDENTIAL
PTEASE ANSITJER Att QUESIIONS ApPI-ICABIE Io YOUR PROIECT
"Project Respons
ibil ity,,
APPLICAi,ITJ
S I,IAME:
southern ExDos
e Sunrooms
DEVELOPER:
PRO]ECT ADDRESS:
421 Black Diahond Dr
CITY: t4ilminqt.on, Nc
SUBDIVISTON:Belfair@Porter6 Ne
ck PlaDtati.on ELOCK
*:
o(4JNER,,S ADDRESS: 421
Black Diamond Dr
CONTRACTOR:
souEhern ExD
osure Sunrooms LICENSE $: 6813 8
ADDRESS!
Po Box 12 ool
CITY: wi lminqton
EMAIL ADDRESS: i ohn@sourhosureEunrooms _ com
PROIECT CONTACT PERSON: .rohn Hickev
EXISTIN6 CONSTRI.JCTION:
ALTERATToN
I netovlrrou
I erHeRal nrnarns
Qot&31
16-00093
APPLICATTON
Number
(office use)
PHONE #: 9lo-'193 2't62
ZIP
i 294tt
LOT #: 11
sT; Jg_ zIP: 284 o5
P}IONE *; sto-7s3 -z'762
PI.ONE *: 9to-'193 2'152
NEt CONSTRUCTTOU:
I rnrCr NE!{ RESIDENCE o" I nOOtrrOlt TO EXTSTING RESIDENCE
'$pLEASE CHECI( AND ANS!)ER BELold
ALL THAT ApPLY To YOUR PROIECTT
f] nrr enmcr
_ sF I orr
canlcr sr
! eoncH
_sF
RE LOCATION
STORAGE SHED
I surunoou
31:__ sF
f| cneeruHousr
_ sr
POoL
_ SF
DECK
SF OTHER:
SF
SF
TOTAL HEATED SQFT: 14s TOTAL SQ FT UNDER
ROoF: 1as ToTAL AREA SQ FI: 1ae
TOTAL PROIECT COST rl.ss Loq : $4900
# OF STORIES:
Is Any ELECTUCAL, PLU[tBIllG or I.IECHANICAI- l,Iork Eelng Done
to the Accessory
Structure] [ V"s f] lo
If the project
is a Relocation,
is there a Natural 6as Line on the Current Site?
f]ves Iuo
rs there Electrical Power on
this Building?
lily"r I--l ro
pRopERTy usE
/ occupANcyr
fl srrucrr raurrv
I ouerex TOWNHOUSE
DESCRIPTION OF [{ORK: convert exi6tinq second fl oor gcreen room
to qlass gunroom
olSCl-AIMEF: lhelEby cdrlily lhal all hbrmalion in his applicarbn is co.recr and atr,*ork will comply wih he slare &rildlng Code aod attable Slale and local laws
and ordhances and regula(ons. The NHC tlevelopmenrSe ices C€nreru/illb6 notified ofanychsnges i.lhs appro.han06 in
conlracbr6r
confacbr htomaIon. "'NOTE:AnyWork Perform€d w/O h6 Appropriab Pemals
willbe
'n
Molation ofthe NCcrle and
00.00"'
OWNER/CONTRACTOR:
;ohn uicrey SIGNATURE:
,i)r,r+ )i**
i*** a)r*,r )**** *** *** * *(I?[l Jli"J:f )t ,i,t,i )i
** *** +1.*,****,t,** **+ ***,*** *,**1)t** * * * )*
** ** *,t )*,t ,*
IS THE PROPERTY LOCATED
IN A FLOODPLAIN?
EXISTING IMPERVIOUS AREA:
_SQ FT
NEhl IMPERVIoUS
AREA: o SQ FT
l*'l vrs r NO
TOTAL ACRES DISTI.JRBED I o
EXIST LAND DISTURBING PERMIT:
l--l vrs [Tl no
wATER: p crnur
f] coMMUNrry
sysrEM
fl pRrvArE r.iELL
! cerurRrl welr
' 5EWER:
m creur
I CENTRAL sEprrc
fl nnrvrrr sEprrc
E coMMUNrry sysrEl'r
rT* SEPARATE PEBI4ITS RTQUIRED FOR ELECT, I.iECH, PLBG, GAS EQUIP,
payr'rENT r,tETHoD:
Icnrr [.rrc* (PAYABLE
ro Nric1 [arrnrcnru rxnnrss
S & INSERTS 'I
I*
l.rclvrsA
E orscor.*
ZoNE:
_ oF FICER:
(FoR
orftcE usE oN!v) REvIsrD DAIE O4l11/12
SETBACKS: F: LH: RH: B:
Approval:_ City:_ DATE:_ FLoOD:
_
A
Comment:
PRE FA8
I
*****,t**,*,trr*,*****++++)t,**,*+*,*,i,t*******,i*)*)t********+******************,t***:***)*:t ******i(****
BF E+2ft=
N
PERMIT FEE:
/.'.: ; :i:..
.
.ffir)
DATEi L/L4/2u.5
PROPERTY O|^,NERrS
NrttilE: Bryden, pavi.d & pameta PK)NE #: 910-319,?15?
CITY: wilminqton ST: J!_ ZIP: 28411
,87
#
NEW HANOVER COUNTY
BUILDING PERMIT
aPPLICATT^N
rrPt
i COIIIiERCIAL
PIIASI Anti{rl ALL (,]i!Ilax!5 APPI :aABtE lO vOi,R tlior€C1
"Pnoject Respons1bl1ity,,
)-clc.- (,
yo
APPLICATIOTI
Nur,!b€r
(office ure )
A?PLICAXT'S tlAltE: " '-OA
: La :pxoNE
i:
PROIECT ADORESS: .,,,r) I l'f Ir.,.- t:.r lltl.j
CITY: rr; rrr:.,,,ZIP:
.'.,n
0CCUPANT/SUS JN I SS 1!J(E I
PROPERTY
OI*/ER'5 NA,i,IE
owfrEI('5 Auur(t5); r' f,
CITY: 7lr l:
PIIONE
#:
ST
(ONIRACToR: r'.!,,i :tlrl.i.r's, l'LICE Si *:
CITY: .,:. , ,.
):ir ZIP: ::..i, I
5T: rL ZIPi jiiADDRESS:: il ji( i::
EltAIl- AoDR€SS:
'"
PRCIECT CONTACT PERSON: ' , r:
AL T5RATIOT;
v lr.\OVATlON GE' :- .L R -';
a
r RELaa11r10,1
'lo lS tsLDG : | '(r r:r-
r No
I rnrcr NEIJ
srRucrunE
I rasr rucx
[]SH E '.1 UPF]]ADa,
TO EXIST STRUCTURI
AC(ESSOSY STRIJCIURE:
If UPEIT - The
Shell Pe.r'111 S
Is Elect Pode. o. thjs Buiiding uoI
:, .: A ' JICY
,I
IF Ye5, Hhat lras the p.eviorrs O((upan<y Type?
_ ___ __ t$at is the ll€r. O(cupanay Typel
A3CH DE .r:. .a':, :. , :
NC8:t_ 'f"- _ : .
NC Rt6 r:
!(ua u (-
: - ,aitl lN HC
ls rood o. b6vsag6 prBpared
r sEvod in tis sftuctur8?
E i!Ll ls Th€ Prop€.ty LEted In
The Flooclflain?
[l resI No
Di.. A"rrr1, j,t0 itil ^d,^ ^- .r,n,slak,
,,,-: ,l' ,,
FLOOD:
-
__ _y._ BFE+2i
N
OWNERICONTRACTOR: -SIGNATU R
BUILDING HE:GHT: i.,
TiTAL ARaA SO t'i , ' .'SQ r I Pt :1 FLR: ..i
TOTAL SO :T UNDER ROOF! t --lr l:
NEW IMP'RVIOUS ARFA:
PROPERTY
USE: @OrrrCe
WAIER: EICFPUA
SEWEB; @ CFPUA
i oF uN Tsl
SETEACKS
oNL!
F: p\FLH:
l,!p RHr'lif1 B:
tJin
# CF SIORIES,
# OF FLOORS:
EXST LAND DISTURBING PERM]I'I
EXISTING IMPIRVIOUS
$lEA: . ,
Itio
E nesrnumm f..,luencerrrle
[eouc CONOO OTHER
T.] CoMMUNITY SYSTEM T..']WELLfi ceurnnr- seelc
; e"nv,rrr
serrrc
nzoNtNG usE CLASsrFlcATroNi
f coMMUNnY SYSTEM
pAyt ENr METHOO:
flCaSN f, CXeCr< (PAYABLE
rO NHC) flruenlcen exeaess f]ucrursr D orscown
'^" -. i- 1n1i?
ZONE: 3' 1-
i OFFICER
Approrral:- City: -sTEj Tllb
a
CommantPERMIT FEE: $IDD
_-..74
PHONE
#: ji -'.r:j_'
'T,,.,-!? tt
r ,-,-rr. lt'I
)otb-G{o
NEI'I HAIOVER COUNTY
BUILDIT{G PERI*IIT
aPPLlcarran rYPs: COtIIIERCIAL
PLETSf AHSBFR
ArL QUESTIOITS ApprI(ASIE TO YOUR psolECT
"Project Responslbility"
#APPLICATIOI{
I{umber
(Office Use)
APPLICAI{T'S NAfiE: ::DATE: ..-..--:,
DEVELOPER;
PIlo E $:
PRO]ECT ADDRESS:J qro.l I r()nqa t
e. r!ivq.l\r i Le 2C2
OCCUPAT{T/BU5II{ESS t{AltE: I r{)nsaae P.rrtn{:.ii
O{i{ER'S ADORESS: Pi Bor rt,.jq
ADOnESS: i',) :ri,x -464
EIiAIL ADORCSS: f rank0 iet i sbu:ioersin(:. com
LICEiISE *: r (1:. ,),,
ZIP i :!BAC
J
PHONE $: ..
ST : l.ic ZIP : :r ri 4 ,,.
a
ST:;\"lr ZIP: i,li '
PROIECT CO TACT PERSOII: ': I-''.i
PHONE *: -
PK[{E S: t-
- '-,'. .'
(Cne.t Al1 Thit Apply)
EXIST COflSTRUCTTON:
I ALTERATTOI
11 Rslocdion. is thera a Natural Gas Line on lheCurrent Site?
R E IiOVATIOt{uYes
E
GENERAL REPAIRS
No IS BLDG SPRINKLERED?
RELOCATION
Yes
nNo
n tr E
NEH COrETRrrcTrOr:
f| eneCr rEr STRTTCTURE
I rrcr rmCX
I Sxer.r-
! Urrrr
I aDo
To ExIsT sTiucTURE
ACCESSORY STRI'CTURE I
Is E1ect PoHer on
this Building
r Yes
Iro
r.'rr rs rHrs A cHAt{cE oF
occupllcy user
flvrs fi1rc ..".
IF Y€s, rhat ras the Previous Occupa.cy Type?
liat j.5 the llft O(cupancy Ty!,e ?
ARCH OESIGII PROFESSIo+IaL: ..i PH
ErrGR DE5I6N PROFESSIOI.IAL: :;i
NC REG *:
NC REG *:
DESCRIPTION OF
K: ;ir':r.,
i:
t.loA
PH
n*
t )';i*e i;,ii;ni
ve and replace exis::ng I i.ri:l
a1 tet i4p.yat" (/7-".-r ],ttn.x
wa i, i .1: Cl)r'ilerecce ra)om wi:h aelr
ls tood
{ b6yragos p.Br€d n s6r€d h tis sruarre?
[ ves
[l u f ne eropaty
OISCIAIfGR: I h€reby ce.lity dla! all intometoi in this applicaLo.r is
co.r61afld all wort wrll cor.Cy w h
the
ard loaal laws and o{dnances and rsqulations. Th€ NHC Devebgrnem S€rvx:es Center \i l be notfi€d of Eny
or c-l|anqe in c!it,-ac1o( or contractor rnformatlrn. "'NOTE Any Wort Pertormed
w/O tfie Appropnals Pormrls
Subredlo Frns6 Up To
tsOO.00-'
OWNEFYCONTRACTOR:,,,r:;, :,:*,:l SIGNATUR
Noaci Dqnotidon noffcdo.tB &
6bcro. Enovd F.mn epdbrddlt a. to b6 srt nlfd tiktg i'. apCic.ddl lurn 768)
wh.ts tlc fadHry d h.ll*ig 16 idrld
b
codain Albanoa o. nd, You
!.! ltq.*rd !o
cal tr tado.C Emb.hn sls.$rda
k l.h:r.do{u Ar
B/6 (XESH F,
d€trE{doi oa my hatlty d hldi.!g. Sa A.b6rc Whb
Stb: nnp r,rvwrr eor stale nt irredtasb€.tos,ahnp
htr
rt (8l S);t07-59i5O er
b€d 10
day! pto. ro
,B
TOTAL PROJECT
COST: ,. , .
SUILOING HEIGHT: .i,l# OF IJNITS: :
ACRES DISTURBED: .
EXST ljND DISTURBING PERMIT?
N YES I NO
NEW IMPERVIOUS AREA: rj SQ FT EXISTING IMPERVIOUS AREA:
Locatod ln Tho Floodplain?
[ ves I No
State &rildrrB Codo aod all ottler appticable State
will
lnlheapproved plans and
NC Sial6 Code and
SQ FI
flcoMMuNny sysTEM D WELL IIZON|NG USE
CTASSIF|GAION:
flcemml seerrc E pR-tvATE
sEpnc f]-coirMuNrry s\€rEM
PAYMENT METHOD:
fiusx flcreo< leevaalE ro
$rc] f]nurnrcex erenEss
n McrvlsA
I otscoven
WATER: U CFPUA
SEWER: UICFPUA
OTHER:
@
(FOR OFF|CC USE Oa{_n R€vtED DATE .r .ln2
ZONE:_OFFICER:SETBACKS:
F:-LH: RH: B:-App.oval:_ Crty:_ DATE_ FLOOD:
_ BFE+2n=
Comm6ni
CITY: |li l m
i nqton
PROPERTY (X{ER' 5 tlAltE : :1.}tnF i . L v.r I .rq1 j,,.rL L
CfTY: wi Imr nst.on
CO TRACTOR: i,.jwis 8u;lder.,, Itc.
CfTY: Wriqnt-s;vi 1]e Seaci)
If UPFIT
- The
Shell Permit S:
TOTAL AREA SO FT : I:,\ SQ FT PER FLR: ..T.
TOTAL SQ FT UNDER RoOF: ';.,. # OF STRUCTURES:
# OF STORIES: :
# OF FLOORS: .:
pRopERryUSE: @orrrce nnesrAURAMr
fluencar.nru
[eouc [APr f]coNoo
Jr*u,rr==,
$*{DD--
Q olb- G'l I
16-158NEW HANOVER COUNTY
BUILDING PERI'IIT
APPLICATI
I rYPF: RESIDEHTIAL
PLEASE ANSI{ER
ALL QIJfS]IOXS APPLICABLE TO YOTIR PRO]ECT
"Project Responsibllity"
Robert Parker
APPLICATIO{
Nmber
(offt.e Use)
APPLICANI'S NAI.IE:
DEVELOPER: p7a
DATE: 2
oJanl6
PRO]ECT ADORESS:
SUBDI VI S I ON I
222
llickory }(noll Rd
CIry: llilmi.nqron
pRopERTY Old{ERrS IIAME: Roqer Davis
&l ER's ADDRESSi 222 Hickory rbo11 Rd
CITY: rii lminqEon
CO TRACTOR: cape Feat'
solar svsEemE
ADDRESS: 901 Martin stree!CITY: wllminqton
LICENSE #: 6s6 77
EIiIAIL ADDRESS: suDoor:r@caDeFersolarsyBtema . co0t
PROIECT CO{TACT PERSON: Robert. parker
DECK
SF OTHER:
P|€NE #: (
910) 232-62s8
ztP " 25392_
ST: g ZIP: 2840e
ST: NC
ZIP: 28401
SF
BLOCK r: LOT
Sl _
PK)NE #: (910) 3es-430
EXrSrriG cq{sTRucTror{:
fl arrenarrox
I nercvlrrou
! eeurnal nrearns
I RElocArrsl
liEl^l
collsTRucTlox:
I tnscr NE]l RESIDENCE
o"
I aUOrrrot To EXISTING RESIDENCE
**PLEASE CHECI( A'{' AI{SI{EN BELON ALL THAT APPLY TO YOI,R PRO]ECT:
I rrr crnace
_ sF f] oer
canace sr
I noncx
_ sF
I sunnoor
_ sF
f] cReeuxouse
-
sr
I eoor-
_ sr f] sroneer sHED
_ sF
ToTAL HEATED SQ FT: _ TOTAL SQ FT UI{DER ROOF:
_ TOTAL AREA SQ FT: _
T0TAL PROIECT COST lress roq
: $1
S OF STORIES:
Is Any ELECTRICAL, pLUl4BIl{c on IECHA ICAL tork Being Done to the Accessory
Structurel
[l Ves fl ruo
If the project
is a Relocation, is there a Natural Gas Line on the Current Site?
f] Ves I Ho
Is there Electrical Power on
this Building?@v"r fl ruo
pRopERw usE
/ occupANcy:
I srncle ranrlv I ouer-rx
I rorNt-ousE
DESCRIPTIOI'I OF WORK:Insta
Ilation of solar oan
eIs on the roof of Mr. Davig,s home
IISCLAIMER lhereby
crrtry hat 6l intlrmalion in his spplcalion b coflecl and at work wi{ compty wif h6 Stere Eu,tdhg Code and a oher appticabte
Sleb s(td tocd tars
and ordinances afld r6lulalbns. The NHC Developm€nl Sorvices
Cenbr willb€ nolifed ofany chsnges in
fie approved ptens
md sp€cifcations or chBnge !r contr6abr or
conkacbr inbmauon.
'"I{OTE: Any Wort F,e{fomed w/O hs Appropiab pomits wrltbe in
Vbtarion ot the NC Stsb Bdg Cod To 35OO 00r"
OEINER/CONTRACTOR:Robert
arker SIGNATURE:
+* * * ***,*+** !r,ir* ** * * ** * ** * * *(ilTl NiT]+,t ,i
*,t,t :t
* )i
* t,t + *++,t *f*+ *.t,t * *,i )t)ir**t*+,t)t*** *:f * )i*)t+ )t
*,t !i
*,t
rs rHE pRopERry LocArED { A FLooDprarN}
EI vEs E] t\n
EXISTII{G IIIPERVICUS AREA:
-SQ
FT ToTAL ACRES DISTURBEDT
r{E]{ rr4PERVIot
S AREA:
_SQ FT EXrST LA|{D DISTURBTIG pER
rT: ff yES E NO
uren:
! cFpuA
n co{t{iruNrw
svsrrm
f} pRrvArE wELL
! crnrnal well
sEhrER:
fl crpuA
fl CENTRAL sEprrc
f| enrvarr
sEprrc
E coi.tMu[rry sysrEM
'** SEPAIIATE PERIIIITS REQUIRED FON ELECT, I'.ECH,
PL8G, GAS EqJIP, PREFABS
& INSERTS ***
pay Eirr nErloDi E casx Elcrec( (IAvABLE
ro
trtlcl
I orenrcAr.r
ExpREss
I r,rcTvrsl
I orscove n
*++,|
++*rt***,fr,*)t**,*,r *)*,* ++++ *+*r * )i:t:t:* + r,i,*,r,r t)*r.* *:!,i )i+,tt:N**,t ***)i)r:* )r rr rt + + * *,*:r *,},t {.:},* )i )a*)t**)r*:r,r *
ZONE: OF FICE R:
(foi OFFICC UsE ONLY) REVISED DAIE O4l11/12
SETBACKS:
F:_ LH:_ RH:_ B:_
Approval:_ City:_ DATE:_ Ft@D:
_ BFE+2ft=
_
C(xment :
N
PERTTIT FEC I
Pm E *f lsto) 232 -6298
PtO E $: eto)232-62a9
NEtl| HANOVER COUNTY BUILDING PERMIT
APPLICATION
IYPE: RESIDENTIAL
PLEASE ANSI,]ER ALL QUESTIOI.IS APPLICABLE TO YOUR PRO]ECT
"Pnoject Responsibility"
)olb -bL{:)
,Jk-JA-
APPLICATION
Number
(Office Use)
APPLICAT{Ir
5 NAIIE: McAdams Homes C
DEVELOPER: rqcea
ams Homes LLC
PRO]ECI ADDRESS:
1008
Jacksons Ri
eCtCIW: wi lminqton
-
BLOCK *:
-
LOT #:
do ZIP z 294tt
7'tSUBDMSIoN: Jacksons Ridqe
PROPERTY OWNER's NA,4E: McAdams Homes LLc
OWNER'S ADDRESS: 5626 - c GordonRd
AIDRESS: 5625-C Gordon Rd
CITY:Wi lminqton ST:Ig_ZfP:284r1
EIIIAIL ADDRESS: qrad\,@mcadamshomes . net /bianca@mcadamshomes . net PHoNE
#: e1o-798,3005
PROIECT CONTACT PERSON: rim Rar.nor PHoNE
f: 910-soB 2298
EXISTING CONSTRUCTTON:
! llre RarrON
tr R ENOVATIONGENERAL REPAIRS RE LOCATION
tr
NEW CONSTRUCTION:ERECT NEr.t RESTDENCE o" f] aOOrrrOru TO EXTSTTNG RESTDENCE
*I.PLEAsE CHECK AND ANSWER BELOW ALL THAT APPLY TO YOUR PRO]ECT:
ATT 6ARAGE 40? SF
suNRooM
_ sF
6REENHOUSE 5F
DET GARAGE
-
SF
POOL SF
@ roncH2.0d
l/ J.SF
! sronncr SHED
_ sF
! orcr
_ sr OTHE R :
SF
TOTAL HEATED 5QFT,
,*o ,sfo ToTAL SQ FT UNDER RoOF: zozr ToTAL AREA
5Q FT: zozr-
TOTAL PROJECT COST (r-ess
roq : $ rzs,ooo
Is Any ELECTRICAL, pLUltBIt'lG or ITECHANICAL
t,Jork Being Done
to the Accessory Stnuctune?
[ V"t I HO
If the pnoject
is a Relocation, j.s there a Natural Gas Line on the Current Site? [ Ves [ ruo
Is there Electnical Powen on this Buildj.ng?
ves
l-l ruo
PROPERTY USE
/ OCCUPANCY:
I SrruCrr FAM]LY
n DUPLEX
E TOWNHOU5E
DESCRIPTION OF WORK:Erect 3 BR
2.5 BA sinqle familv homewith attached qaraqe.
I
oISCLAIMER lherebycerlit hal all inbrmalion in rlis applicaijon is cofiecl and all work will compty wifi he Stale Buitding Code and a otier
and ordinances and regulalons,
Tie NHC Development Servrces Cente, willbe notlied ofanychanges in lhe approved ptans and
contactor anbrmal,on. 'nNOTE:Any Woft Performed W/O ltle ApprcpriaE Permts witl be in Viotation ofthe NC Srate Btdg Code
OWNER/CONTRACTOR
3 ndam sosne SIGNATURE :
(print Name)**,****++++**********:t*+**++**********+*+*)t*)t**+******+**+,t***+++*+**
To
$500.00"'
x( )*
*:*+,** +,t *** * * )t** *,t
BF E+
2ft=
I5 THE PROPERTY LOCATED
IN A FLOOOPLAIN?
N YES J_I IO
EXISTING IMPERVIOUS AREA:
5Q FTTOTAL ACRES DISTURBED:
NEh, IMPERVIoUS AREA:
_5Q FT
EXrST LAND DTSTURBTNG pe
nmrr:
l-l yEs E No
FPUACOI',lI',lUNITY SYSTEM
! enrvnre uJELL
n CENTRAL wELLWATER:
SEWER:
CFPUA
E CENTRAL
sEPTIc
I enTva-re
sEPTIc
E CoMI,IUNITY sYsTEM
*',} SEPARATE PERI|4ITS REQUIRED FOR
ELECT, I,IECHJ
PLBG' GAS EqJIP, PR:FABS
& ]NSERTS **T
payrirEifi flErHoD: ficasn lorecK (payABLE
ro NHc) EBrLL AccouNT
I r.rclvrsn I orscoven
+**,1*,r,t ** *+ **** * * ** )i )** *:*,*
*,t** * * +* +***,r* *:t *+*,* **+ *+,t + +** * )r+ + ii +* *,r)* *+ *,r ,f,i )i++
**,| )t :i + +,r +* )r* ++
(FOR OFFICE USE O6ILY) REVISED DAIE g4/11/!2
SETBACKS:
F:_ LH:_ RH:_ B:_ZONE :OF FICE R :
Approval:_ City:_ DATE: FLOOD:
Colment:
N
PERI'IIT
FEE: $
gwlas
,<-a-.\.,?' i. i-.
( ,
DATE. ),/4/16
PHONE #: 910-798-3006
PHONE #: 910-?98-ioo6
CITY: wilminqton ST: JS_ ZIP:2j.1ll_
CONTRACTOR: McAdams Homes
LLc LICENSE *: ACCOUNT
#:
# OF STORIES: